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Organization
KWASNIEWSKI ENTERPRISES INC
Active
Organization
KWASNIEWSKI ENTERPRISES INC
Active
Other names
CORNWELL DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KWASNIEWSKI (PRESIDENT)
(605) 345-3351
Entity
Organization
Contact information
Practice address
701 MAIN ST, WEBSTER, SD 57274-1305
(605) 345-3351
(605) 345-3201
Mailing address
PO BOX 490, WEBSTER, SD 57274-0490
(605) 345-3351
(605) 345-3352
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1001821
SD
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093886
PK
—
05
—
8500742
—
SD
Enumeration date
10/21/2005
Last updated
12/04/2018
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