Organization
MILLER REXALL DRUG CO
Active
Other names
Miller Rexall Drug
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT STEVEN MERKWAN R. PH. (OWNER/PHARMACIST)
(605) 853-3647
Entity
Organization
Contact information
Practice address
209 N BROADWAY AVE, MILLER, SD 57362-1340
(605) 853-3647
(605) 853-3744
Mailing address
PO BOX 26, MILLER, SD 57362-0026
(605) 853-3647
(605) 853-3744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
100-0964
SD
3336C0003X
Community/Retail Pharmacy
Primary
100-0964
SD
Other
Enumeration date
07/01/2006
Last updated
04/28/2015
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