| NPI | 1255347464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH BROUWER Admin 605-724-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 100-1899) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-04-19 |