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Organization
AMH LTD
Active
Organization
AMH LTD
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE HAASE (MANAGER)
(605) 642-2442
Entity
Organization
Contact information
Practice address
1330 NORTH AVE, SPEARFISH, SD 57783-1525
(605) 642-2442
(605) 642-3450
Mailing address
1330 NORTH AVE, SPEARFISH, SD 57783-1525
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1000006
SD
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102439600
—
WY
01
—
4302179
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8500602
—
SD
Enumeration date
12/26/2006
Last updated
03/07/2023
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