Graham Pharmacy Inc

LBN: Graham Pharmacy
Graham Pharmacy Inc is an health care organization with primary practice located at 818 W Havens St , Mitchell SD 57301-3830. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Graham Pharmacy can be contacted via phone (605) 996-5321, or through Graham, Mark via phone (605) 996-5321.

Contact Information

Primary practice address
818 W Havens St Mitchell SD 57301-3830
Fax: (605) 996-6090
Website:
Authorized official contact:
Name: Graham, Mark

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1000519 South Dakota
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1699719906
LBN Legal business name Graham Pharmacy
DBA Doing business as Graham Pharmacy Inc
Authorized official Graham, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1699719906 NPPES
Other 4300531 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 8500470 OTHER ID NUMBER-COMMERCIAL NUMBER

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