Organization
BROTHERS PHARMACIES, INC.
Active
Other names
Northside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE J CLARAMBEAU (OWNER/PHARMACIST)
(605) 352-9222
Entity
Organization
Contact information
Practice address
100 DAKOTA AVE N STE A, HURON, SD 57350-1630
(605) 352-9222
(605) 352-4861
Mailing address
100 DAKOTA AVE N. SUITE A, HURON, SD 57350
(605) 352-9222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8510040
—
SD
Enumeration date
05/11/2006
Last updated
04/30/2021
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