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Contact Information

PRESCRIPTION SHOP INC
1200 S 7TH ST AVE
STE 100
SIOUX FALLS, SD57105
 Phone: 605-336-1816
 Fax: 605-336-1677
 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

NPI Profile & details for PRESCRIPTION SHOP INC

NPI Number 1699878710
LBN Legal business name PRESCRIPTION SHOP INC
Authorized official CLIFF VAN HOVE - (OWNER,AO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 07/29/2016 - About 10 years ago
Identifiers
SD License # 100-0990
SD Medicaid 8500180
Other 2093550 PK
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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