# DOUGLAS COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Pharmacy Corsica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255347464
- **Authorized official:** HEATH BROUWER CEO (ADMIN)
- **Authorized official phone:** (605) 724-2151

## Contact information

- **Practice address:** 265 E MAIN ST, CORSICA, SD 57328
- **Practice address phone:** (605) 946-5690
- **Practice address fax:** (605) 946-5616
- **Mailing address:** 708 8TH ST, ARMOUR, SD 57313-2102
- **Mailing address phone:** (605) 724-2970
- **Mailing address fax:** (605) 724-2310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 100-1899 | SD | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 06/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2094338 | PK | — |