| NPI | 1295374288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON VP Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2023-12-12 |