NPI | 1407959539 |
---|---|
Doing Business As | FAMILY PHARMACY-CLINIC |
Entity Type | Organization |
Authorized Contact | LEVI JENSEN President 605-845-8140 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 1001797) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0002X Pharmacy, Clinic Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2022-02-28 |