# FAULKTON PHARMACY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faulkton Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134370448
- **Authorized official:** DILLON KJERSTAD (OWNER)
- **Authorized official phone:** (605) 859-2843

## Contact information

- **Practice address:** 118 8TH AVE S, FAULKTON, SD 57438-2115
- **Practice address phone:** (605) 598-4187
- **Practice address fax:** (605) 598-6772
- **Mailing address:** PO BOX 70, FAULKTON, SD 57438-0070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 1001945 | SD | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 11/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2117260 | PK | — |