# SALEM DRUG INCORPORATED

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

## Provider details

- **NPI number:** 1356436844
- **Authorized official:** MR. ERIC GROCOTT (OWNER/ PHARMACIST)
- **Authorized official phone:** (605) 425-2827

## Contact information

- **Practice address:** 300 NORTH MAIN STREET, SALEM, SD 57058
- **Practice address phone:** (605) 425-2827
- **Practice address fax:** (605) 425-2052
- **Mailing address:** PO BOX 316, SALEM, SD 57058
- **Mailing address phone:** (605) 425-2827
- **Mailing address fax:** (605) 425-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 100-0946SD | SD | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100-0946 | SD | — |
| 3336C0003X | Community/Retail Pharmacy | 100-0946 | SD | Yes |
| 3336L0003X | Long Term Care Pharmacy | 100-0946 | SD | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8502580 | — | SD |