Organization
FAULKTON PHARMACY INCORPORATED
Active
Other names
Faulkton Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DILLON KJERSTAD (OWNER)
(605) 859-2843
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
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1001945
SD
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117260
PK
—
Enumeration date
10/06/2008
Last updated
11/30/2023
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