Organization
DAKOTAMART INC
Active
Other names
LYNNS DAKOTAMART PHARMACY - BELLE FOURCHE
Organization subpart
No
Provider details
NPI number
Authorized official
JANEL S EISCHENS (PHARMACIST IN CHARGE)
(605) 892-2666
Entity
Organization
Contact information
Practice address
600 NATIONAL ST, BELLE FOURCHE, SD 57717-2002
(605) 892-2666
(605) 892-2667
Mailing address
3435 W MAIN ST, RAPID CITY, SD 57702-2321
(605) 892-2666
(605) 892-2667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1001881
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094328
PK
—
05
—
8510050
—
SD
Enumeration date
11/27/2006
Last updated
06/13/2023
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