NPI | 1750824462 |
---|---|
Doing Business As | BROTHERS PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | SHANE CLARAMBEAU CEO/President 605-223-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: SD 100-2046) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2020-03-06 |