| NPI | 1649372111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNE ALBERT ANDERSON Pharmacist 605-987-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SD 1000044) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 3680) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2013-01-25 |