# PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES
- **Other names:** Centerville Community Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518062629
- **Legal business name:** PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES
- **Authorized official:** THOMAS RICHTER (CEO)
- **Authorized official phone:** (605) 326-5161

## Contact information

- **Practice address:** 513 BROADWAY, CENTERVILLE, SD 57014
- **Practice address phone:** (605) 563-2243
- **Practice address fax:** (605) 563-3784
- **Mailing address:** PO BOX 99, CENTERVILLE, SD 57014-0099
- **Mailing address phone:** (605) 563-2243
- **Mailing address fax:** (605) 563-3784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 100-1834 | SD | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 01/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100-1834 | STATE LICENSE | SD |