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Organization

RENNER CORPORATION

Active
Other names
ROGERS FAMILY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER RENNER (OWNER)
(605) 665-8042
Entity
Organization

Contact information

Practice address
218 W 4TH ST, YANKTON, SD 57078-4301
(605) 665-8042
(605) 665-1998
Mailing address
218 W 4TH ST, YANKTON, SD 57078-4301
(605) 665-8042
(605) 665-1998

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
100-0538
SD
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2094170
PK
05
8503050
SD
Enumeration date
07/08/2006
Last updated
06/10/2015
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