NPI | 1235161209 |
---|---|
Doing Business As | PRAIRIE PHARMACY |
Entity Type | Organization |
Authorized Contact | HEATH BROUWER Administrator 605-724-2151 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 1001848) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-11-01 |