DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STATE OF SOUTH DAKOTA-DIVISION OF

MEDICARE: STATE OF SOUTH DAKOTA-DIVISION OF
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
13336I0012XInstitutional Pharmacy
23336C0003XCommunity/Retail Pharmacy
33336L0003XLong Term Care Pharmacy100-1627SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12094310OTHERPK

General Provider Information

NPI Number : 1902930613
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF SOUTH DAKOTA-DIVISION OF
Provider Business Mailing Address
First Line : 2500 MINNEKAHTA AVE
Second Line :
City : HOT SPRINGS
State : SD
Zip : 57747-1129
Country : US
Telephone Number : 605-745-5127
Fax Number : 605-745-7329
Provider Business Practice Location Address
First Line : 2500 MINNEKAHTA AVE
Second Line :
City : HOT SPRINGS
State : SD
Zip : 57747-1129
Country : US
Telephone Number : 605-745-5127
Fax Number : 605-745-4617
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : JOHN LANE
Credential : RPH
Telephone Number : 605-745-5127
Provider Enumeration Date : 03/15/2007
Last Update Date : 05/31/2023

Similar Medicare Providers

1891999892 — JOHN L LANE RPH.
Practice Location Address:
2500 MINNEKAHTA AVE
HOT SPRINGS, SD
57747-1129
Practice Phone: 605-745-5127
Practice Fax: 605-745-4617
1174692883 — RESTHAB INC.
Practice Location Address:
1129 INDUSTRIAL DR E
SULPHUR SPRINGS, TX
75482-3326
Practice Phone: 903-885-9906
Practice Fax: 903-438-9636
1568531259 — JAMES MICHAEL HAGAR PT
Practice Location Address:
1129 INDUSTRIAL DR E
SULPHUR SPRINGS, TX
75482-3326
Practice Phone: 903-885-9906
Practice Fax: 903-438-9636
1871637322 — BETTY LEE DARBY PH.D.
Practice Location Address:
1129 W IRON SPRINGS RD , #213
PRESCOTT, AZ
86305-1623
Practice Phone: 928-777-2372
Practice Fax: 928-777-2361
1154521839 — MRS. COY M. GREEN MA,APRN,BC
Practice Location Address:
1129 W IRON SPRINGS RD , #107
PRESCOTT, AZ
86305-1623
Practice Phone: 928-777-2377
Practice Fax: 928-777-2378
1720250848 — DR. KENNETH HAROLD KASNER PH.D.
Practice Location Address:
1129 W IRON SPRINGS RD
PRESCOTT, AZ
86305-1623
Practice Phone: 928-778-2925
Practice Fax:

Directions to “STATE OF SOUTH DAKOTA-DIVISION OF ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.