# GREGORY DRUG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912995515
- **Authorized official:** MR. ROBERT DUANE WIK RPH (PREVIOUS OWNER/PHARMACIST)
- **Authorized official phone:** (605) 835-8198

## Contact information

- **Practice address:** 604 MAIN, GREGORY, SD 57533
- **Practice address phone:** (605) 835-8198
- **Practice address fax:** (605) 835-8827
- **Mailing address:** 604 MAIN, GREGORY, SD 57533
- **Mailing address phone:** (605) 835-8198
- **Mailing address fax:** (605) 835-8827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 1000505 | SD | Yes |

## Other

- **Enumeration date:** 10/09/2005
- **Last updated:** 06/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8500032 | — | SD |