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Organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Active
Organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Active
Parent organization
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Other names
LACREEK DISTRICT CLINIC PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
Authorized official
MS. RHONDA M AKERS DO (BUSINESS OFFICE MANAGER)
(605) 867-3032
Entity
Organization
Contact information
Practice address
119 S 1ST AVE, MARTIN, SD 57551-5835
(605) 685-2800
Mailing address
119 S 1ST AVE, MARTIN, SD 57551-5835
(605) 685-2880
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
03/18/2021
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