Vilas Pharmacy

LBN: Wyodak Pharmacies Inc
Vilas Pharmacy is an health care organization with primary practice located at 145 Glendale Dr , Lead SD 57754. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wyodak Pharmacies Inc can be contacted via phone (605) 717-2496, or through Stephens, James Robert via phone (605) 224-4538.

Contact Information

Primary practice address
145 Glendale Dr Lead SD 57754
Phone: (605) 717-2496
Fax: (605) 717-2497
Website:
Map and Directions
Authorized official contact:
Name: Stephens, James Robert RPH
Phone: (605) 224-4538

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 100-2042 South Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902253214
LBN Legal business name Wyodak Pharmacies Inc
DBA Doing business as Vilas Pharmacy
Authorized official Stephens, James Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2016
Last updated Sep 14th, 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 1902253214 NPPES
South Dakota MEDICAID 1902253214
South Dakota Other 2160047

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