# SD DEPARTMENT OF CORRECTIONS PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF SOUTH DAKOTA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699552752
- **Legal business name:** STATE OF SOUTH DAKOTA
- **Authorized official:** TRACI CARLSON PHARM.D. (PHARMACY MANAGER)
- **Authorized official phone:** (605) 668-5406

## Contact information

- **Practice address:** 75 MICKELSON DRIVE, YANKTON, SD 57078
- **Practice address phone:** (605) 668-5406
- **Practice address fax:** (605) 668-5988
- **Mailing address:** 75 MICKELSON DR, BOX 7, YANKTON, SD 57078
- **Mailing address phone:** (605) 668-5406
- **Mailing address fax:** (605) 668-5988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/12/2023