Organization
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES
Active
Parent organization
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES
Other names
Centerville Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES
Authorized official
THOMAS RICHTER (CEO)
(605) 326-5161
Entity
Organization
Contact information
Practice address
513 BROADWAY, CENTERVILLE, SD 57014
(605) 563-2243
(605) 563-3784
Mailing address
PO BOX 99, CENTERVILLE, SD 57014-0099
(605) 563-2243
(605) 563-3784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-1834
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100-1834
STATE LICENSE
SD
Enumeration date
09/13/2006
Last updated
01/05/2016
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