| Organization Name: | GREGORY DRUG |
| NPI Number: | 1912995515 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT DUANE WIK (PREVIOUS OWNER/PHARMACIST) |
| Mailing Address: | 604 Main Gregory |
| State: | SD US |
| Postal Code: | 57533 |
| Phone Number: | 6058358198 |
| Fax Number: | 6058358827 |
| NPI Enumeration Date: | 10/09/2005 |
| NPI Last Update Date: | 06/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/09/2008 |
| NPI Reactivation Date: | 11/26/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 333600000X |
| License Number: | 1000505 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |