NPI | 1861927709 |
---|---|
Doing Business As | SANFORD PHARMACY I94 |
Entity Type | Organization |
Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND phar315a) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2024-09-27 |