| NPI | 1669468906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILLON KJERSTAD Owner 605-859-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 1000057) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: SD 1000057) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2023-11-30 |