Organization
WULLSTEIN PHARMACY INC.
Active
Other names
Brandon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WULLSTEIN PHARMD (OWNER)
(605) 582-6000
Entity
Organization
Contact information
Practice address
116 E HOLLY BLVD, BRANDON, SD 57005-1114
(605) 582-6000
(605) 582-6200
Mailing address
116 E HOLLY BLVD, BRANDON, SD 57005-2658
(605) 582-6000
(605) 582-6200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8504600
—
SD
Enumeration date
05/12/2010
Last updated
03/28/2022
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