State Street Pharmacy

LBN: Aberdeen Medical Center Pharmacy, Inc
State Street Pharmacy is an health care organization with primary practice located at 105 S State St Suite 111, Aberdeen SD 57401-4500. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Aberdeen Medical Center Pharmacy, Inc can be contacted via phone (605) 225-1945, or through Taffe, David James via phone (605) 225-1945.

Contact Information

Primary practice address
105 S State St Suite 111 Aberdeen SD 57401-4500
Phone: (605) 225-1945
Fax: (605) 725-0037
Website:
Map and Directions
Authorized official contact:
Name: Taffe, David James RPH
Phone: (605) 225-1945

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 1001616 South Dakota

Profile Details

NPI number 1083703037
LBN Legal business name Aberdeen Medical Center Pharmacy, Inc
DBA Doing business as State Street Pharmacy
Authorized official Taffe, David James RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 11th, 2006
Last updated Sep 5th, 2014 - about 10 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 1083703037 NPPES
South Dakota MEDICAID 8500310
South Dakota Other 4304553

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