Organization
SALEM DRUG INCORPORATED
Active
Other names
Salem Community Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC GROCOTT (OWNER/ PHARMACIST)
(605) 425-2827
Entity
Organization
Contact information
Practice address
300 NORTH MAIN STREET, SALEM, SD 57058
(605) 425-2827
(605) 425-2052
Mailing address
PO BOX 316, SALEM, SD 57058
(605) 425-2827
(605) 425-2052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
100-0946SD
SD
332B00000X
Durable Medical Equipment & Medical Supplies
100-0946
SD
3336C0003X
Community/Retail Pharmacy
Primary
100-0946
SD
3336L0003X
Long Term Care Pharmacy
100-0946
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502580
—
SD
Enumeration date
10/03/2006
Last updated
03/17/2021
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