TK Dispensing

Organization Active NPI Durable Medical Equipment & Medical Supplies · Wagner, SD

NPI 1992867048 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992867048
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
TK DISPENSING
Practice address
29416 402ND Ave
Wagner, SD 57380-6914
Phone
(605) 384-3129
NPI assigned
Dec 15, 2006
Organization subpart
No

Authorized official

Name
Karen Marie Peters
Title
Owner
Phone
(605) 384-3129

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

29416 402ND Ave
Wagner, SD 57380-6914

Mailing address

29416 402ND Ave
Wagner, SD 57380-6914
Phone (605) 384-3129

Other identifiers

IdentifierTypeStateIssuer
9566890MedicaidSD

Other providers in Wagner, SD

All providers in Wagner, SD · Durable Medical Equipment & Medical Supplies in South Dakota

Sources for this page

Verify at the official NPI Registry.