# WALL DRUG STORE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023173168
- **Authorized official:** CYNTHIA S DINGER PHARM D (PHARMACIST)
- **Authorized official phone:** (605) 279-1931

## Contact information

- **Practice address:** 510 MAIN STREET, WALL, SD 57790-0401
- **Practice address phone:** (605) 279-1931
- **Practice address fax:** (605) 279-1030
- **Mailing address:** 510 MAIN STREET, P O BOX 401, WALL, SD 57790-0401
- **Mailing address phone:** (605) 279-1931
- **Mailing address fax:** (605) 279-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 100-0054 | SD | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 01/02/2014