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Organization
PARKSTON DRUG INC
Active
Organization
PARKSTON DRUG INC
Active
Other names
PARKSTON DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOETTCHER (PRESIDENT AND OWNER)
(605) 928-3125
Entity
Organization
Contact information
Practice address
112 W MAIN ST, PARKSTON, SD 57366-2010
(605) 928-3125
(605) 928-7516
Mailing address
PO BOX 430, PARKSTON, SD 57366-0430
(605) 928-3125
(605) 928-7516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
100-1946
SD
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093848
PK
—
05
—
8500332
—
SD
05
—
9162862
—
SD
Enumeration date
04/03/2007
Last updated
11/21/2016
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