Organization
MAIN STREET PHARMACY I CORP
Active
Other names
Getskow Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NORM KAUFMAN (CORP. PRES)
(605) 925-7059
Entity
Organization
Contact information
Practice address
105 N BROADWAY AVE, MARION, SD 57043-2058
(605) 648-3751
(605) 648-3179
Mailing address
389 S MAIN ST, PO BOX 120, FREEMAN, SD 57029-2337
(605) 925-7059
(605) 925-7360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-1825
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143318
PK
—
Enumeration date
12/10/2013
Last updated
12/10/2013
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