Organization
VILAS HEALTH & VARIETY
Active
Other names
Community Pharmacies, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R. STEPHENS (PRESIDENT)
(605) 224-4538
Entity
Organization
Contact information
Practice address
100 MAIN STREET, FAITH, SD 57626-0637
(605) 967-2123
(605) 967-2910
Mailing address
PO BOX 637, FAITH, SD 57626-0637
(605) 967-2123
(605) 967-2910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100-0981
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8504620
—
SD
Enumeration date
07/03/2006
Last updated
03/10/2020
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