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NPI Code Detail

MEDICARE: TEL-DRUG INC

MEDICARE: TEL-DRUG INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy1001332SD

General Provider Information

NPI Number : 1225030448
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEL-DRUG INC
Provider Business Mailing Address
First Line : 4901 N 4TH AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-0444
Country : US
Telephone Number : 605-373-4854
Fax Number : 800-973-7150
Provider Business Practice Location Address
First Line : 4901 N 4TH AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-0444
Country : US
Telephone Number : 605-373-4854
Fax Number : 800-973-7150
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : MR. CHAD SHERARD
Credential : RPH
Telephone Number : 605-809-8180
Provider Enumeration Date : 06/01/2005
Last Update Date : 05/19/2015

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Directions to “TEL-DRUG INC ” Practice Location

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