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Organization
SD DEPARTMENT OF CORRECTIONS PHARMACY
Active
Organization
SD DEPARTMENT OF CORRECTIONS PHARMACY
Active
Parent organization
STATE OF SOUTH DAKOTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF SOUTH DAKOTA
Authorized official
TRACI CARLSON PHARM.D. (PHARMACY MANAGER)
(605) 668-5406
Entity
Organization
Contact information
Practice address
75 MICKELSON DRIVE, YANKTON, SD 57078
(605) 668-5406
(605) 668-5988
Mailing address
75 MICKELSON DR, BOX 7, YANKTON, SD 57078
(605) 668-5406
(605) 668-5988
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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