# RAMBO LTC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brothers Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750824462
- **Authorized official:** SHANE CLARAMBEAU (CEO/PRESIDENT)
- **Authorized official phone:** (605) 223-9200

## Contact information

- **Practice address:** 1004 6TH ST STE B, BROOKINGS, SD 57006-2205
- **Practice address phone:** (605) 692-2088
- **Practice address fax:** (605) 692-2089
- **Mailing address:** 1004 6TH ST STE B, BROOKINGS, SD 57006-2205
- **Mailing address phone:** (605) 692-2088
- **Mailing address fax:** (605) 692-2089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 100-2046 | SD | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 03/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166609 | PK | — |