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Organization
RAMBO LTC INC
Active
Organization
RAMBO LTC INC
Active
Other names
Brothers Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE CLARAMBEAU (CEO/PRESIDENT)
(605) 223-9200
Entity
Organization
Contact information
Practice address
1004 6TH ST STE B, BROOKINGS, SD 57006-2205
(605) 692-2088
(605) 692-2089
Mailing address
1004 6TH ST STE B, BROOKINGS, SD 57006-2205
(605) 692-2088
(605) 692-2089
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
100-2046
SD
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166609
PK
—
Enumeration date
11/29/2016
Last updated
03/06/2020
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