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Contact Information

CRISSMAN DRUG
33 MAIN ST
IPSWICH, SD57451
 Phone: 605-426-6551
 Fax: 605-426-6321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CRISSMAN DRUG

NPI # 1962413534
LBN Legal business name CRISSMAN DRUG
Authorized official JUDY WALDMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 10/17/2007 - About 19 years ago
Identifiers
SD License # 10000003
SD Medicaid 8500872
SD Medicaid 9161382
Other 4301470 OTHER ID NUMBER-COMMERCIAL 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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