| NPI | 1568056158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT FIEBELKORN President, CEO 605-835-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |