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Organization
PEDIATRIC HEMATOLOGY ONCOLOGY PHARMACY LTC
Active
Organization
PEDIATRIC HEMATOLOGY ONCOLOGY PHARMACY LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEE-LAI CHIU R. PH. (PHARMACY MANAGER)
(605) 322-7595
Entity
Organization
Contact information
Practice address
1000 E 21ST ST, SUITE 3100, SIOUX FALLS, SD 57105-1035
(605) 322-7595
(605) 322-7599
Mailing address
1000 E 21ST ST, SUITE 3100, SIOUX FALLS, SD 57105-1035
(605) 322-7595
(605) 322-7599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
100-1649
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304666
NCPDP NUMBER
SD
Enumeration date
02/22/2007
Last updated
12/07/2010
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