NPI | 1700836251 |
---|---|
Doing Business As | SHANES PHARMACY |
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 |