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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