Healthcare Provider Details

I. General information

NPI: 1851314231
Provider Name (Legal Business Name): TURNER DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 MAIN ST
BOWDLE SD
57428
US

IV. Provider business mailing address

PO BOX E
BOWDLE SD
57428-0395
US

V. Phone/Fax

Practice location:
  • Phone: 605-285-6121
  • Fax: 605-285-6912
Mailing address:
  • Phone: 605-285-6121
  • Fax: 605-285-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number100-0004
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1851314231
Identifier TypeMEDICAID
Identifier StateSD
Identifier Issuer
# 2
Identifier4303486
Identifier TypeOTHER
Identifier State
Identifier IssuerNCPDP PROVIDER IDENTIFICATION NUMBER

VIII. Authorized Official

Name: DILLON KJERSTAD
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 605-859-2843