# PARKSTON DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARKSTON DRUG INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801917281
- **Authorized official:** RICHARD BOETTCHER (PRESIDENT AND OWNER)
- **Authorized official phone:** (605) 928-3125

## Contact information

- **Practice address:** 112 W MAIN ST, PARKSTON, SD 57366-2010
- **Practice address phone:** (605) 928-3125
- **Practice address fax:** (605) 928-7516
- **Mailing address:** PO BOX 430, PARKSTON, SD 57366-0430
- **Mailing address phone:** (605) 928-3125
- **Mailing address fax:** (605) 928-7516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 100-1946 | SD | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 11/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2093848 | PK | — |
| 05 | — | 8500332 | — | SD |
| 05 | — | 9162862 | — | SD |