Organization
VAN R INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUIE J. VAN ROEKEL R. PH. (PRESIDENT VICE PRESIDENT)
(605) 224-6000
Entity
Organization
Contact information
Practice address
633 E SIOUX AVE, PIERRE, SD 57501-3368
(605) 224-6000
(605) 224-6543
Mailing address
633 E SIOUX AVE, PIERRE, SD 57501-3368
(605) 224-6000
(605) 224-6543
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-0537
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4303842
NCPDP
SD
05
—
8504470
—
SD
Enumeration date
09/13/2006
Last updated
03/07/2023
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