Healthcare Provider Details
I. General information
NPI: 1891009783
Provider Name (Legal Business Name): THE WINNER PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2010
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 W 2ND ST
WINNER SD
57580-1218
US
IV. Provider business mailing address
620 W 2ND ST
WINNER SD
57580-1218
US
V. Phone/Fax
- Phone: 605-842-7777
- Fax: 605-842-2271
- Phone: 605-842-7777
- Fax: 605-842-2271
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 100-1959 |
| License Number State | SD |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
FIEBELKORN
Title or Position: PRESIDENT/PHARMACIST
Credential:
Phone: 605-842-7777