Healthcare Provider Details

I. General information

NPI: 1811357239
Provider Name (Legal Business Name): COMMUNITY PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 07/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 COMMERCIAL STREET SE
HIGHMORE SD
57345
US

IV. Provider business mailing address

PO BOX 419
HIGHMORE SD
57345-0419
US

V. Phone/Fax

Practice location:
  • Phone: 605-852-2890
  • Fax: 605-852-2134
Mailing address:
  • Phone: 605-852-2890
  • Fax: 605-852-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number100-2038
License Number StateSD

VIII. Authorized Official

Name: JAMES STEPHENS
Title or Position: OWNER, PIC, AO
Credential: RPH
Phone: 605-224-4538