Organization
DAKOTA COUNTRY PHARMACY INC
Active
Other names
Dakota Country Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DILLON KJERSTAD (VICE PRESIDENT)
(605) 270-7609
Entity
Organization
Contact information
Practice address
130 S CENTER, PHILIP, SD 57567-0640
(605) 859-2833
(605) 859-3026
Mailing address
PO BOX 878, PHILIP, SD 57567-0878
(605) 859-2833
(605) 859-3026
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1001993
SD
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356477442
—
SD
01
—
2145900
PK
—
Enumeration date
02/26/2007
Last updated
11/30/2023
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