| NPI | 1083703037 |
|---|---|
| Doing Business As | STATE STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES TAFFE President 605-225-1945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: SD 1001616) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-09-05 |