Organization
GREGORY DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCOTT FIEBELKORN PHARMD (PRESIDENT, CEO)
(605) 835-8198
Entity
Organization
Contact information
Practice address
604 MAIN ST, GREGORY, SD 57533-1349
(605) 835-8198
(605) 835-8827
Mailing address
604 MAIN ST, GREGORY, SD 57533-1349
(605) 835-8198
(605) 835-8827
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500033
—
SD
Enumeration date
02/24/2021
Last updated
02/24/2021
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