Organization
BROOKINGS HOSPITAL
Active
Other names
BROOKINGS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TIMMERMAN RPH PHARMD (DIR OF PHARMACY)
(605) 696-7718
Entity
Organization
Contact information
Practice address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 692-6351
Mailing address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 692-6351
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
1000515
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4300884
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/14/2006
Last updated
05/19/2010
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