Provider First Line Business Practice Location Address:
1712 SD HWY 12
Provider Second Line Business Practice Location Address:
PAMIDA PHARMACY
Provider Business Practice Location Address City Name:
SISSETON
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-742-0016
Provider Business Practice Location Address Fax Number:
605-742-0021
Provider Enumeration Date:
10/25/2010