NPI | 1376105452 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET E LEE Business Planning & Development Mgr 605-721-1922 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
333600000X Pharmacy | |
3336C0002X Pharmacy Clinic Pharmacy | |
Enumeration Date | 2019-06-28 |
Last Update Date | 2020-04-28 |