| NPI | 1841389467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL WEBER Administrative Assistant 605-367-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SD 100989) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-11-21 |