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General NPI Number Information
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NPI Number | 1740538230
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Entity Type | Organization
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Legal Business Name | SOUTH DAKOTA HUMAN SERVICES CENTER PHARMACY
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3515 BROADWAY AVE
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City | YANKTON
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State | SD
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Zip | 57078-4917
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Country | US
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Telephone | 605-668-3182
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Fax | 605-668-3156
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Provider Business Mailing Address
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Address Line | 3515 BROADWAY AVE
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City | YANKTON
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State | SD
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Zip | 57078-4917
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Country | US
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Telephone | 605-668-3182
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Fax | 605-668-3156
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Authorized Official
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Title or Position | CEO
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Name | MR. RIC COMPTON
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Credential |
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Telephone | 605-668-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 10577
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License Number State | SD
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