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Organization

SD DEPARTMENT OF CORRECTIONS PHARMACY

Active
Parent organization
STATE OF SOUTH DAKOTA
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF SOUTH DAKOTA
Authorized official
TRACI CARLSON PHARM.D. (PHARMACY MANAGER)
(605) 668-5406
Entity
Organization

Contact information

Practice address
75 MICKELSON DRIVE, YANKTON, SD 57078
(605) 668-5406
(605) 668-5988
Mailing address
75 MICKELSON DR, BOX 7, YANKTON, SD 57078
(605) 668-5406
(605) 668-5988

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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