| NPI | 1962413534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY WALDMAN Owner 605-426-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SD 10000003) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-10-17 |