Healthcare Provider Details

I. General information

NPI: 1548131261
Provider Name (Legal Business Name): DEADWOOD DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 CHARLES ST
DEADWOOD SD
57732-1303
US

IV. Provider business mailing address

1111 LAZELLE ST STE 2
STURGIS SD
57785-1204
US

V. Phone/Fax

Practice location:
  • Phone: 605-578-1512
  • Fax: 605-578-1937
Mailing address:
  • Phone: 605-578-1512
  • Fax: 605-578-1937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WENDY D SHINOST
Title or Position: OFFICE MANAGER
Credential:
Phone: 605-347-2466