State Street Pharmacy
LBN: Aberdeen Medical Center Pharmacy, Inc
State Street Pharmacy is an health care organization with primary practice located at 105 S State St Suite 111, Aberdeen SD 57401-4500. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty.
Aberdeen Medical Center Pharmacy, Inc can be contacted via phone (605) 225-1945, or through Taffe, David James via phone (605) 225-1945.
Contact Information
Primary practice address
105 S State St Suite 111
Aberdeen SD 57401-4500
Phone: (605) 225-1945
Fax: (605) 725-0037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | 1001616 | South Dakota |
Profile Details
| NPI number | 1083703037 |
|---|---|
| LBN Legal business name | Aberdeen Medical Center Pharmacy, Inc |
| DBA Doing business as | State Street Pharmacy |
| Authorized official | Taffe, David James RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Sep 5th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083703037 | NPPES |
| South Dakota | MEDICAID | 8500310 | |
| South Dakota | Other | 4304553 |
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