NPI | 1548131261 |
---|---|
Former Legal Business Name | DEADWOOD DRUG INC |
Entity Type | Organization |
Authorized Contact | TYLER BERTSCH Owner 605-347-2466 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2025-09-16 |
Last Update Date | 2025-09-16 |