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Contact Information

WYODAK PHARMACIES INC
145 GLENDALE DR
LEAD, SD57754
 Phone: 605-717-2496
 Fax: 605-717-2497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WYODAK PHARMACIES INC

NPI # 1902253214
LBN Legal business name WYODAK PHARMACIES INC
Authorized official JAMES STEPHENS - (OWNER, PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2016
Last updated 09/14/2020 - About 6 years ago
Identifiers
SD License # 100-2042
SD Medicaid 1902253214
Other 2160047 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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