| NPI | 1477042372 |
|---|---|
| Other Name | SANFORD PHARMACY 1611 ANNE ST 340B |
| Doing Business As | SANFORD PHARMACY 1611 ANNE ST |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-01-23 |