5Th Street Pharmacy

LBN: Amundson Enterprises Inc
5Th Street Pharmacy is an health care organization with primary practice located at 525 5Th St Se Suite 3, Watertown SD 57201-4940. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Amundson Enterprises Inc can be contacted via phone (605) 886-4207, or through Zirbel, Monica A via phone (605) 886-4207.

Contact Information

Primary practice address
525 5Th St Se Suite 3 Watertown SD 57201-4940
Phone: (605) 886-4207
Fax: (605) 886-0644
Website:
Map and Directions
Authorized official contact:
Name: Zirbel, Monica A PHARMACIST
Phone: (605) 886-4207

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4082 South Dakota

Profile Details

NPI number 1164499539
LBN Legal business name Amundson Enterprises Inc
DBA Doing business as 5Th Street Pharmacy
Authorized official Zirbel, Monica A PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164499539 NPPES
South Dakota Other 4302345 NABP NUMBER
South Dakota MEDICAID 8501160 NABP NUMBER

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