Organization
PRESCRIPTION SHOP INC
Active
Other names
VANHOVE PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF VAN HOVE RPH (OWNER,AO)
(605) 336-1816
Entity
Organization
Contact information
Practice address
1200 S 7TH ST AVE, STE 100, SIOUX FALLS, SD 57105
(605) 336-1816
(605) 336-1677
Mailing address
1200 S 7TH ST AVE, STE 100, SIOUX FALLS, SD 57105
(605) 336-1816
(605) 336-1677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
100-0990
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093550
PK
—
05
—
8500180
—
SD
Enumeration date
09/06/2006
Last updated
07/29/2016
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