Organization
MEDVANTX INC
Active
Other names
MedVantx Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN HARMS PHARM D (CHIEF PHARMACIST)
(605) 978-3963
Entity
Organization
Contact information
Practice address
2503 E 54TH ST N, STE M, SIOUX FALLS, SD 57104-5563
(605) 978-3980
(888) 825-8473
Mailing address
2503 E 54TH ST N, STE M, SIOUX FALLS, SD 57104-5563
(605) 978-3980
(888) 825-8473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
1001950
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119886
PK
—
Enumeration date
04/01/2009
Last updated
07/19/2018
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