Organization
CSRX INC
Active
Other names
MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS RISING PHARMD (OWNER)
(605) 348-6305
Entity
Organization
Contact information
Practice address
1304 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-3667
(605) 348-6305
(605) 348-6635
Mailing address
1304 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-3667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1001103
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123076000
—
WY
05
—
21471
—
ND
01
—
4303501
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8502352
—
SD
05
—
9166242
—
SD
05
—
9566492
—
SD
Enumeration date
07/02/2006
Last updated
10/10/2008
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