Main Street Pharmacy I Corp

NPI #1104257658 in Marion, South Dakota

Provider Information

NPI Number
1104257658
Entity Type
Organization
Organization Name
Main Street Pharmacy I Corp
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 10, 2013
Last Updated
Dec 10, 2013

Practice Location

Address
105 N BROADWAY AVE
City
Marion
ZIP Code
57043-2058
Phone
(605) 648-3751

Authorized Official

Name
NORM KAUFMAN
Title
CORP. PRES
Phone
(605) 925-7059

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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