Salem Community Drug

LBN: Salem Drug Incorporated
Salem Community Drug is an health care organization with primary practice located at 300 North Main Street , Salem SD 57058. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Salem Drug Incorporated can be contacted via phone (605) 425-2827, or through Grocott, Eric via phone (605) 425-2827.

Contact Information

Primary practice address
300 North Main Street Salem SD 57058
Fax: (605) 425-2052
Website:
Authorized official contact:
Name: Grocott, Eric

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 100-0946SD South Dakota
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 100-0946 South Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X 100-0946 South Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X 100-0946 South Dakota

Profile Details

NPI number 1356436844
LBN Legal business name Salem Drug Incorporated
DBA Doing business as Salem Community Drug
Authorized official Grocott, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 17th, 2021 - about 5 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 1356436844 NPPES
South Dakota MEDICAID 8502580

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