# REILLY PHARMACY LLC

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

## Provider details

- **NPI number:** 1851328751
- **Authorized official:** VINCENT GERARD REILLY RPH (OWNER)
- **Authorized official phone:** (605) 368-5333

## Contact information

- **Practice address:** 720 E. FIRST STREET, TEA, SD 57064-0487
- **Practice address phone:** (605) 368-5333
- **Practice address fax:** (605) 368-5337
- **Mailing address:** PO BOX 487, TEA, SD 57064-0487
- **Mailing address phone:** (605) 368-5333
- **Mailing address fax:** (605) 368-5337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 100-1869 | SD | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4353710 | NCPDP \# | SD |
| 05 | — | 8504242 | — | SD |