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Organization

PARKSTON DRUG INC

Active
Other names
PARKSTON DRUG INC
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD BOETTCHER (PRESIDENT AND OWNER)
(605) 928-3125
Entity
Organization

Contact information

Practice address
112 W MAIN ST, PARKSTON, SD 57366-2010
(605) 928-3125
(605) 928-7516
Mailing address
PO BOX 430, PARKSTON, SD 57366-0430
(605) 928-3125
(605) 928-7516

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
100-1946
SD
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2093848
PK
05
8500332
SD
05
9162862
SD
Enumeration date
04/03/2007
Last updated
11/21/2016
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