Crissman Drug

LBN: Crissman Drug
Crissman Drug is an health care organization with primary practice located at 33 Main St , Ipswich SD 57451. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Crissman Drug can be contacted via phone (605) 426-6551, or through Waldman, Judy via phone (605) 426-6551.

Contact Information

Primary practice address
33 Main St Ipswich SD 57451
Phone: (605) 426-6551
Fax: (605) 426-6321
Website:
Map and Directions
Authorized official contact:
Name: Waldman, Judy PHARMD
Phone: (605) 426-6551

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 10000003 South Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962413534
LBN Legal business name Crissman Drug
DBA Doing business as
Authorized official Waldman, Judy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 17th, 2007 - about 17 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 1962413534 NPPES
Other 4301470 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 8500872 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 9161382 OTHER ID NUMBER-COMMERCIAL NUMBER

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