Organization
MILLER DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILLON KJERSTAD (OWNER)
(605) 859-2843
Entity
Organization
Contact information
Practice address
1010 W 1ST ST STE 2, REDFIELD, SD 57469-1503
(605) 472-1810
(605) 472-1812
Mailing address
PO BOX 878, PHILIP, SD 57567-0878
(605) 472-1810
(605) 472-1812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1000057
SD
3336L0003X
Long Term Care Pharmacy
1000057
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096790400
—
MN
05
—
1669468906
—
SD
Enumeration date
09/22/2005
Last updated
11/30/2023
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