KEVIN GLENN WURTZ

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

KEVIN GLENN WURTZ

107 E MAIN ST
ELK POINT, SD 57025

Phone: 605-356-3336
Fax: 605-356-3202
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KEVIN GLENN WURTZ

NPI Number 1306911599

LBN Legal business name KEVIN GLENN WURTZ

Authorized official KEVIN WURTZ - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/22/2006

Last updated 08/19/2009 - About 17 years ago

Identifiers

SD	License #	100-0510
SD	Medicaid	8500840
	Other	4301191	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KEVIN GLENN WURTZ

Contact Information

Specialty

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for KEVIN GLENN WURTZ

Reviews for KEVIN GLENN WURTZ