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Organization

WOLLMANS OF VERMILLION

Active
Other names
CHOICE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
NORM KAUFMAN RPH (CORP PRESIDENT)
(605) 624-8038
Entity
Organization

Contact information

Practice address
11 W CHERRY ST, VERMILLION, SD 57069-1107
(605) 624-8038
(605) 624-8039
Mailing address
PO BOX 120, FREEMAN, SD 57029-0120

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100513
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4303967
OTHER ID NUMBER-COMMERCIAL NUMBER
05
8504060
SD
Enumeration date
06/20/2006
Last updated
04/20/2008
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