Provider Demographics
NPI:1639108749
Name:COMMUNITY PHARMACIES, INC.
Entity type:Organization
Organization Name:COMMUNITY PHARMACIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-224-4538
Mailing Address - Street 1:PO BOX 1215
Mailing Address - Street 2:ATTN: DME MANAGER
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-1215
Mailing Address - Country:US
Mailing Address - Phone:605-224-4538
Mailing Address - Fax:605-224-8027
Practice Address - Street 1:220 EAST DAKOTA AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-1215
Practice Address - Country:US
Practice Address - Phone:605-224-4538
Practice Address - Fax:605-224-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD100-0981332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies