Provider Demographics
NPI:1205010204
Name:DUNES FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:DUNES FAMILY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-242-5050
Mailing Address - Street 1:101 TOWER ROAD
Mailing Address - Street 2:STE 130
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5341
Mailing Address - Country:US
Mailing Address - Phone:605-242-5050
Mailing Address - Fax:
Practice Address - Street 1:101 TOWER ROAD
Practice Address - Street 2:STE 130
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5341
Practice Address - Country:US
Practice Address - Phone:605-242-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100-25-1014-00Medicaid
IA057-6645Medicaid
SD850-2990Medicaid
SD9162480OtherDME 9162480
IA057-6645Medicaid