Pioneer Drug

LBN: Kevin Glenn Wurtz
Pioneer Drug is an health care organization with primary practice located at 107 E Main St , Elk Point SD 57025. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kevin Glenn Wurtz can be contacted via phone (605) 356-3336, or through Wurtz, Kevin via phone (605) 356-3336.

Contact Information

Primary practice address
107 E Main St Elk Point SD 57025
Phone: (605) 356-3336
Fax: (605) 356-3202
Website:
Map and Directions
Authorized official contact:
Name: Wurtz, Kevin RPH
Phone: (605) 356-3336

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 100-0510 South Dakota

Profile Details

NPI number 1306911599
LBN Legal business name Kevin Glenn Wurtz
DBA Doing business as Pioneer Drug
Authorized official Wurtz, Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Aug 19th, 2009 - about 17 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 1306911599 NPPES
South Dakota MEDICAID 8500840
South Dakota Other 4301191

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