| NPI | 1700836251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE CLARAMBEAU CEO 605-223-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SD 1001897) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-08-05 |