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Organization
MAIN STREET PHARMACY I CORP
Active
Organization
MAIN STREET PHARMACY I CORP
Active
Other names
Norm's Thrifty White Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NORM KAUFMAN (OWNER)
(605) 670-1450
Entity
Organization
Contact information
Practice address
389 S MAIN ST, FREEMAN, SD 57029-2337
(605) 925-7059
(605) 925-2360
Mailing address
PO BOX 120, FREEMAN, SD 57029-0120
(605) 925-7360
(605) 925-7360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1001944
SD
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117662
PK
—
Enumeration date
11/05/2008
Last updated
11/18/2015
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