Provider Demographics
NPI:1730237736
Name:QUARVE DRUG CO
Entity type:Organization
Organization Name:QUARVE DRUG CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BREMMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:605-448-2471
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:710 MAIN ST
Mailing Address - City:BRITTON
Mailing Address - State:SD
Mailing Address - Zip Code:57430-0027
Mailing Address - Country:US
Mailing Address - Phone:605-448-2471
Mailing Address - Fax:605-448-5809
Practice Address - Street 1:710 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRITTON
Practice Address - State:SD
Practice Address - Zip Code:57430-0027
Practice Address - Country:US
Practice Address - Phone:605-448-2471
Practice Address - Fax:605-448-5809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1000001333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD8501500Medicaid
4300872OtherNABP