| NPI | 1912995515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DUANE WIK Previous Owner/Pharmacist 605-835-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SD 1000505) |
| Enumeration Date | 2005-10-09 |
| Last Update Date | 2009-06-11 |