# AMH LTD

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

## Provider details

- **NPI number:** 1528123940
- **Authorized official:** ANNE HAASE (MANAGER)
- **Authorized official phone:** (605) 642-2442

## Contact information

- **Practice address:** 1330 NORTH AVE, SPEARFISH, SD 57783-1525
- **Practice address phone:** (605) 642-2442
- **Practice address fax:** (605) 642-3450
- **Mailing address:** 1330 NORTH AVE, SPEARFISH, SD 57783-1525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 1000006 | SD | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102439600 | — | WY |
| 01 | — | 4302179 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 8500602 | — | SD |
