National Provider Identifier Database

CRISSMAN DRUG
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CRISSMAN DRUG
33 MAIN ST
IPSWICH, SD57451
Phone: 605-426-6551
Fax: 605-426-6321
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for CRISSMAN DRUG

NPI Number 1962413534
Legal business name
LBN
CRISSMAN DRUG
Authorized official JUDY WALDMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/10/2006
Last updated 10/17/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 10000003
  • SD Medicaid: 8500872
  • SD Medicaid: 9161382
  • Other: 4301470 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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