Organization
BOGEN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY OSTERKAMP (OWNER/PHARMACIST)
(605) 679-6826
Entity
Organization
Contact information
Practice address
1120 E 10TH ST, SIOUX FALLS, SD 57103-1617
(605) 679-6826
(605) 679-6596
Mailing address
1120 E 10TH ST, SIOUX FALLS, SD 57103-1617
(605) 679-6826
(605) 679-6596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
100-2047
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168710
PK
—
Enumeration date
03/14/2017
Last updated
03/17/2018
Update your record
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