Organization
LORI L GIEDT
Active
Other names
Lori's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LOUISE GIEDT RPH (OWNER/RPH)
(605) 397-2363
Entity
Organization
Contact information
Practice address
1205 N 1ST ST, GROTON, SD 57445-2329
(605) 397-2363
(605) 397-4403
Mailing address
PO BOX 347, GROTON, SD 57445-0347
(605) 397-2363
(605) 397-4403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100-0002
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502070
—
SD
01
—
9166940
MEDICAID DME
SD
Enumeration date
05/13/2010
Last updated
07/10/2011
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