Organization
KENDALLS REXALL PHARMACY INC
Active
Other names
Kendalls Home Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FRIEDRICH (OWNER)
(605) 692-4461
Entity
Organization
Contact information
Practice address
223 6TH ST, BROOKINGS, SD 57006
(605) 692-4461
(605) 692-0845
Mailing address
223 6TH STREET, BROOKINGS, SD 57006
(605) 692-4461
(605) 692-0845
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361882000
MINNESOTA HEALTH CARE
MN
01
—
4998872
WELLMARK BLUE CROSS BLUE
—
05
—
9161180
—
SD
Enumeration date
02/20/2007
Last updated
11/23/2010
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