Shane'S Pharmacy

LBN: Brothers Pharmacies Inc
Shane'S Pharmacy is an health care organization with primary practice located at 213 E Hustan Ave Ste A , Fort Pierre SD 57532. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Brothers Pharmacies Inc can be contacted via phone (605) 223-9200, or through Clarambeau, Shane via phone (605) 223-9200.

Contact Information

Primary practice address
213 E Hustan Ave Ste A Fort Pierre SD 57532
Fax: (605) 223-9201
Website:
Authorized official contact:
Name: Clarambeau, Shane

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 100-1897 South Dakota

Profile Details

NPI number 1932642428
LBN Legal business name Brothers Pharmacies Inc
DBA Doing business as Shane'S Pharmacy
Authorized official Clarambeau, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2016
Last updated Aug 6th, 2021 - about 3 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 1932642428 NPPES
South Dakota MEDICAID 8504350
South Dakota Other 2166389

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