Custer Community Pharmacy LLC
NPI #1154460996 in Custer, South Dakota
Provider Information
- NPI Number
- 1154460996
- Entity Type
- Organization
- Organization Name
- Custer Community Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Nov 30, 2023
Practice Location
- Address
- 521 MOUNT RUSHMORE RD
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-1531
- Phone
- (605) 673-2225
Authorized Official
- Name
- DILLON KJERSTAD
- Title
- PRESIDENT
- Phone
- (605) 270-7609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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