# PRESCRIPTION SHOP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VANHOVE PRESCRIPTION SHOP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699878710
- **Authorized official:** CLIFF VAN HOVE RPH (OWNER,AO)
- **Authorized official phone:** (605) 336-1816

## Contact information

- **Practice address:** 1200 S 7TH ST AVE, STE 100, SIOUX FALLS, SD 57105
- **Practice address phone:** (605) 336-1816
- **Practice address fax:** (605) 336-1677
- **Mailing address:** 1200 S 7TH ST AVE, STE 100, SIOUX FALLS, SD 57105
- **Mailing address phone:** (605) 336-1816
- **Mailing address fax:** (605) 336-1677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 100-0990 | SD | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 07/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2093550 | PK | — |
| 05 | — | 8500180 | — | SD |