NPI | 1255403515 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERI KRAEMER Owner 605-334-1672 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 1001822) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2023-03-07 |