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Organization
STATE OF SOUTH DAKOTA-DIVISION OF
Active
Organization
STATE OF SOUTH DAKOTA-DIVISION OF
Active
Other names
SOUTH DAKOTA STATE VETERANS HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LANE RPH (PHARMACIST IN CHARGE)
(605) 745-5127
Entity
Organization
Contact information
Practice address
2500 MINNEKAHTA AVE, HOT SPRINGS, SD 57747-1129
(605) 745-5127
(605) 745-4617
Mailing address
2500 MINNEKAHTA AVE, HOT SPRINGS, SD 57747-1129
(605) 745-5127
(605) 745-7329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
100-1627
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094310
PK
—
Enumeration date
03/15/2007
Last updated
05/31/2023
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