Organization
WOLLMANS OF VERMILLION
Active
Other names
CHOICE UNIT DOSE
Organization subpart
No
Provider details
NPI number
Authorized official
NORM KAUFMAN RPH (OWNER)
(605) 624-8038
Entity
Organization
Contact information
Practice address
11 W CHERRY ST, VERMILLION, SD 57069-1107
(605) 624-8038
(605) 624-8039
Mailing address
PO BOX 120, FREEMAN, SD 57029-0120
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1000513
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353760
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8504080
—
SD
Enumeration date
08/01/2006
Last updated
03/14/2008
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