# VAN R INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730284845
- **Authorized official:** MRS. LOUIE J. VAN ROEKEL R. PH. (PRESIDENT VICE PRESIDENT)
- **Authorized official phone:** (605) 224-6000

## Contact information

- **Practice address:** 633 E SIOUX AVE, PIERRE, SD 57501-3368
- **Practice address phone:** (605) 224-6000
- **Practice address fax:** (605) 224-6543
- **Mailing address:** 633 E SIOUX AVE, PIERRE, SD 57501-3368
- **Mailing address phone:** (605) 224-6000
- **Mailing address fax:** (605) 224-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 100-0537 | SD | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4303842 | NCPDP | SD |
| 05 | — | 8504470 | — | SD |