Organization
RAPID CITY REGIONAL HOSPITAL INC
Active
Other names
Regional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PETERSON PHARM D (MANAGER OF AMBULATORY PHARMACY SERV)
(605) 755-8184
Entity
Organization
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8184
(605) 755-4763
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8184
(605) 755-4763
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
1001986
SD
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093951
PK
—
05
—
8560040
—
SD
Enumeration date
01/23/2007
Last updated
06/08/2016
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