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General NPI Number Information
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NPI Number | 1699813683
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Entity Type | Organization
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Legal Business Name | DAKOTAMART INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 501 S 6TH ST
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City | HOT SPRINGS
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State | SD
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Zip | 57747-2318
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Country | US
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Telephone | 605-745-3110
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Fax | 605-745-7241
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Provider Business Mailing Address
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Address Line | 3435 W MAIN ST
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City | RAPID CITY
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State | SD
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Zip | 57702-2321
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Country | US
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Telephone | 605-745-3110
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Fax | 605-745-7241
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | SARA E BUTTS
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Credential |
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Telephone | 605-745-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1001882
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License Number State | SD
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