Organization
PURE HEALTHCARE OF SOUTH DAKOTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA T TANDY (DIRECTOR)
(801) 590-9267
Entity
Organization
Contact information
Practice address
25 1ST AVE SW STE A, WATERTOWN, SD 57201-3507
(801) 590-9267
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 590-9267
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
09/11/2024
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