# MAIN STREET PHARMACY I CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Norm's Thrifty White Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811141815
- **Authorized official:** NORM KAUFMAN (OWNER)
- **Authorized official phone:** (605) 670-1450

## Contact information

- **Practice address:** 389 S MAIN ST, FREEMAN, SD 57029-2337
- **Practice address phone:** (605) 925-7059
- **Practice address fax:** (605) 925-2360
- **Mailing address:** PO BOX 120, FREEMAN, SD 57029-0120
- **Mailing address phone:** (605) 925-7360
- **Mailing address fax:** (605) 925-7360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1001944 | SD | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 11/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2117662 | PK | — |