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NPI Code Detail

MEDICARE: ABERDEEN MEDICAL CENTER PHARMACY, INC

MEDICARE: ABERDEEN MEDICAL CENTER PHARMACY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy1001616SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24304553OTHERSDNABP#

General Provider Information

NPI Number : 1083703037
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABERDEEN MEDICAL CENTER PHARMACY, INC
Provider Business Mailing Address
First Line : 105 S STATE ST
Second Line : SUITE 111
City : ABERDEEN
State : SD
Zip : 57401-4500
Country : US
Telephone Number : 605-225-1945
Fax Number : 605-725-0037
Provider Business Practice Location Address
First Line : 105 S STATE ST
Second Line : SUITE 111
City : ABERDEEN
State : SD
Zip : 57401-4500
Country : US
Telephone Number : 605-225-1945
Fax Number : 605-725-0037
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID JAMES TAFFE
Credential : RPH
Telephone Number : 605-225-1945
Provider Enumeration Date : 10/11/2006
Last Update Date : 09/05/2014

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Directions to “ABERDEEN MEDICAL CENTER PHARMACY, INC ” Practice Location

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