Organization
CRISSMAN DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY WALDMAN PHARMD (OWNER)
(605) 426-6551
Entity
Organization
Contact information
Practice address
33 MAIN ST, IPSWICH, SD 57451
(605) 426-6551
(605) 426-6321
Mailing address
PO BOX 36, 33 MAIN ST, IPSWICH, SD 57451-0036
(605) 426-6551
(605) 426-6321
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
10000003
SD
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301470
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8500872
—
SD
05
—
9161382
—
SD
Enumeration date
08/10/2006
Last updated
10/17/2007
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