Organization
R THOMAS BARTHOLOMEW
Active
Other names
Faulkton Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMAS BARTHOLOMEW (OWNER PHARMACIST)
(605) 598-4187
Entity
Organization
Contact information
Practice address
118 8TH AVE S, FAULKTON, SD 57438-2115
(605) 598-4187
(605) 598-6772
Mailing address
PO BOX 70, FAULKTON, SD 57438-0070
(605) 598-4187
(605) 598-6772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1000009
SD
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
1000009
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301280
OTHER ID NUMBER
—
05
—
8501540
—
SD
Enumeration date
08/20/2006
Last updated
07/15/2008
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