Organization
REILLY PHARMACY LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT GERARD REILLY RPH (OWNER)
(605) 368-5333
Entity
Organization
Contact information
Practice address
720 E. FIRST STREET, TEA, SD 57064-0487
(605) 368-5333
(605) 368-5337
Mailing address
PO BOX 487, TEA, SD 57064-0487
(605) 368-5333
(605) 368-5337
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-1869
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353710
NCPDP #
SD
05
—
8504242
—
SD
Enumeration date
06/27/2006
Last updated
03/07/2023
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