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Contact Information

SD DEPARTMENT OF CORRECTIONS PHARMACY
75 MICKELSON DRIVE
YANKTON, SD57078
 Phone: 605-668-5406
 Fax: 605-668-5988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SD DEPARTMENT OF CORRECTIONS PHARMACY

NPI Number 1699552752
LBN Legal business name SD DEPARTMENT OF CORRECTIONS PHARMACY
Authorized official TRACI CARLSON - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/12/2023
Last updated 09/12/2023 - About 3 years ago
Identifiers n/a
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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