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ST. MICHAEL'S HOSPITAL INC. NPI 1073514311


NPI Information

NPI: 1073514311
Provider Name: ST. MICHAEL'S HOSPITAL, INC.

Doing Business As: BON HOMME PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
410 W 16TH AVE
TYNDALL, SD
ZIP 57066
Phone: (605) 589-4418
Get Directions

ST. MICHAEL'S HOSPITAL, INC. is a pharmacy in Tyndall, SD. The provider is 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. ST. MICHAEL'S HOSPITAL, INC. NPI is 1073514311. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Homme Pharmacy.

The provider's business location address is:

410 W 16TH AVE
TYNDALL, SD
ZIP 57066-318
Phone: (605) 589-4418
Fax: (605) 589-4428

The provider's authorized official is Ashli Danilko .
The authorized official title is Chief Executive Officer and has the following contact phone number (605) 589-2152.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 9/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4333600000XPharmacy1001860SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18504170MEDICAIDSOUTH DAKOTA
25154760001OTHERMEDICARE DME POS REGION D

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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