Provider Demographics
NPI:1952629032
Name:TURNER DRUG INC
Entity Type:Organization
Organization Name:TURNER DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DILLON
Authorized Official - Middle Name:
Authorized Official - Last Name:KJERSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-859-2843
Mailing Address - Street 1:PO BOX E
Mailing Address - Street 2:
Mailing Address - City:BOWDLE
Mailing Address - State:SD
Mailing Address - Zip Code:57428-0395
Mailing Address - Country:US
Mailing Address - Phone:605-285-6121
Mailing Address - Fax:605-285-6912
Practice Address - Street 1:3033 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BOWDLE
Practice Address - State:SD
Practice Address - Zip Code:57428
Practice Address - Country:US
Practice Address - Phone:605-285-6121
Practice Address - Fax:605-285-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD100-0004333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4303486OtherNCPDP PROVIDER INDENTICATION NUMBER
SD9165442Medicaid
SD8502812Medicaid
SD9165442Medicaid