| NPI | 1922241439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA WINSKY Secretary/Treasurer 605-778-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: SD 300-0635) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |