| NPI | 1124005269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA RAE HECK Campus Pharmacy Manager 605-995-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 100-1023) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-03-07 |