| NPI | 1932642428 |
|---|---|
| Doing Business As | SHANE'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHANE CLARAMBEAU CEO/President 605-223-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: SD 100-1897) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2021-08-06 |