| NPI | 1154506608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES LAVIN Pres. 605-624-4444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: SD 100-0455) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |