| 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 |