MEDICARE: CSRX, 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
1	3336L0003X	Long Term Care Pharmacy		SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4354091	OTHER	SD	NCPDP

General Provider Information

NPI Number	:	1881864494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CSRX, INC.

Provider Business Mailing Address
First Line	:	1304 MOUNT RUSHMORE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-3667
Country	:	US
Telephone Number	:	605-348-2500
Fax Number	:	605-348-2622

Provider Business Practice Location Address
First Line	:	5626 FARGO LANE
Second Line	:	STE 104
City	:	RAPID CITY
State	:	SD
Zip	:	57701-4645
Country	:	US
Telephone Number	:	605-348-2500
Fax Number	:	605-348-2622

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	CURTIS D RISING
Credential	:	PHARMD
Telephone Number	:	605-348-2500

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	06/08/2023

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Directions to “CSRX, INC. ” Practice Location

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