Smith'S Drug
LBN: Stateline Drug Inc
Smith'S Drug is an health care organization with primary practice located at 301 Main Ave Box 360, Lemmon SD 57638-1419. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Stateline Drug Inc can be contacted via phone (605) 374-3897, or through Sonsalla, Eric via phone (605) 374-3897.
Contact Information
Primary practice address
301 Main Ave Box 360
Lemmon SD 57638-1419
Phone: (605) 374-3897
Fax: (605) 374-5510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 100-0056 | South Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1023173796 |
|---|---|
| LBN Legal business name | Stateline Drug Inc |
| DBA Doing business as | Smith'S Drug |
| Authorized official | Sonsalla, Eric PHARM.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2006 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023173796 | NPPES |
| South Dakota | MEDICAID | 8501362 | |
| South Dakota | MEDICAID | 020209 |
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