NPI | 1235173519 |
---|---|
Doing Business As | SANFORD PHARMACY BROADWAY |
Doing Business As | SANFORD PHARMACY ROGER MARIS |
Entity Type | Organization |
Authorized Contact | TONY LEE MORRISON VP Revenue Cycle 605-328-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND 309) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ND 309) |
333600000X Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: ND 309) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2024-07-30 |