NPI | 1083933824 |
---|---|
Doing Business As | SANFORD PHARMACY 1611 ANNE ST |
Entity Type | Organization |
Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 263522) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-05-19 |
Last Update Date | 2023-04-11 |