# BROTHERS PHARMACIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shane's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932642428
- **Authorized official:** SHANE CLARAMBEAU (CEO/PRESIDENT)
- **Authorized official phone:** (605) 223-9200

## Contact information

- **Practice address:** 213 E HUSTAN AVE STE A, FORT PIERRE, SD 57532
- **Practice address phone:** (605) 223-9200
- **Practice address fax:** (605) 223-9201
- **Mailing address:** 213 E HUSTAN AVE STE A, FORT PIERRE, SD 57532
- **Mailing address phone:** (605) 223-9200
- **Mailing address fax:** (605) 223-9201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 100-1897 | SD | Yes |

## Other

- **Enumeration date:** 12/01/2016
- **Last updated:** 08/06/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166389 | PK | — |
| 05 | — | 8504350 | — | SD |