Provider Demographics
NPI:1346026796
Name:YANKTON DRUG CO INC
Entity Type:Organization
Organization Name:YANKTON DRUG CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARAMCIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FIEBELKORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-835-8198
Mailing Address - Street 1:109 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-4320
Mailing Address - Country:US
Mailing Address - Phone:605-665-7866
Mailing Address - Fax:605-665-0452
Practice Address - Street 1:109 W 3RD ST
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-4320
Practice Address - Country:US
Practice Address - Phone:605-665-7866
Practice Address - Fax:605-665-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy