# STATELINE DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smith's Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023173796
- **Authorized official:** ERIC SONSALLA PHARM.D (PHARMACIST/OWNER)
- **Authorized official phone:** (605) 374-3897

## Contact information

- **Practice address:** 301 MAIN AVE, BOX 360, LEMMON, SD 57638-1419
- **Practice address phone:** (605) 374-3897
- **Practice address fax:** (605) 374-5510
- **Mailing address:** 301 MAIN AVE, BOX 360, LEMMON, SD 57638-1419
- **Mailing address phone:** (605) 374-3897
- **Mailing address fax:** (605) 374-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 100-0056 | SD | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/23/2006
- **Last updated:** 03/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020209 | — | ND |
| 05 | — | 8501362 | — | SD |