# WOLLMAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WOLLMAN ANDES PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265599617
- **Authorized official:** DENNIS WOLLMAN RPH (OWNER)
- **Authorized official phone:** (605) 925-7534

## Contact information

- **Practice address:** 332 MAIN ST, LAKE ANDES, SD 57356
- **Practice address phone:** (605) 487-7685
- **Practice address fax:** (605) 487-7685
- **Mailing address:** 332 MAIN ST, PO BOX 730, LAKE ANDES, SD 57356
- **Mailing address phone:** (605) 487-7685
- **Mailing address fax:** (605) 487-7685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 100-0029 | SD | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 10/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2093757 | PK | — |