| NPI | 1346026796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT FIEBELKORN Owner/Pharamcist 605-835-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |