| NPI | 1255416186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK STEPHEN WILSON Pharmacist 605-685-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 100-0514) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-06-17 |