Organization
GREGORY DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DUANE WIK RPH (PREVIOUS OWNER/PHARMACIST)
(605) 835-8198
Entity
Organization
Contact information
Practice address
604 MAIN, GREGORY, SD 57533
(605) 835-8198
(605) 835-8827
Mailing address
604 MAIN, GREGORY, SD 57533
(605) 835-8198
(605) 835-8827
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1000505
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500032
—
SD
Enumeration date
10/09/2005
Last updated
06/11/2009
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