Organization
SANFORD CLINIC
Active
Organization
SANFORD CLINIC
Active
Other names
SANFORD CANCER CENTER ONCOLOGY CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KUNTSON (DIR OF CLINIC OPER)
(605) 328-8033
Entity
Organization
Contact information
Practice address
1309 W 17TH ST, #101, SIOUX FALLS, SD 57104-4663
(605) 328-8000
(605) 328-8054
Mailing address
1309 W 17TH ST, #101, SIOUX FALLS, SD 57104-4663
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
3341
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4354077
OTHER ID NUMBER
—
Enumeration date
03/05/2008
Last updated
11/27/2023
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