| NPI | 1235116765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA ANN HETLAND Pharmacist In Charge 605-882-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SD 1001832) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |