Organization
YANKTON DRUG CO INC
Active
Other names
YANKTON REXALL DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KUCHTA (TERMINATED)
(605) 665-7865
Entity
Organization
Contact information
Practice address
109 W 3RD ST, YANKTON, SD 57078-4320
(605) 665-7865
(605) 665-0452
Mailing address
109 W 3RD ST, YANKTON, SD 57078-4320
(605) 665-7865
(605) 665-0452
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1000473
SD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093933
PK
—
05
—
8500250
—
SD
Enumeration date
08/20/2006
Last updated
05/30/2024
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