Organization
HARTFORD PHARMACY LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT GERARD REILLY RPH (MEMBER MANAGER)
(605) 528-2000
Entity
Organization
Contact information
Practice address
304 W. HIGHWAY 38, SUITE 102, HARTFORD, SD 57033-0397
(605) 528-2000
(605) 528-2003
Mailing address
PO BOX 397, HARTFORD, SD 57033-0397
(605) 528-2000
(605) 528-2003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-1873
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353746
NCPDP #
SD
05
—
8504260
—
SD
Enumeration date
06/13/2006
Last updated
03/07/2023
Update your record
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