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General NPI Number Information
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NPI Number | 1548131261
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Entity Type | Organization
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Legal Business Name | DEADWOOD DRUG INC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 71 CHARLES ST
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City | DEADWOOD
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State | SD
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Zip | 57732-1303
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Country | US
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Telephone | 605-578-1512
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Fax | 605-578-1937
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Provider Business Mailing Address
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Address Line | 1111 LAZELLE ST STE 2
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City | STURGIS
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State | SD
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Zip | 57785-1204
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Country | US
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Telephone | 605-578-1512
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Fax | 605-578-1937
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | WENDY D SHINOST
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Credential |
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Telephone | 605-347-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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