Pharmacy Name MedVantx Pharmacy Services
Address 2503 E. 54th St N
Sioux Falls, SD 57104
Phone (605) 978-3902 or (866) 744-0621
Pharmacist in Charge Sean M. Harms
Professional Degree BS, Pharmaceutical Sciences, SDSU, 2010
Pharm D, South Dakota State Univ., 2012
STATE License Number
ALABAMA 112538, 18237, 194416
ALASKA 1043
ARIZONA Y003901, S020947, W002371
ARKANSAS OS01620, PD12657
CALIFORNIA NRP 970, OSD 4914
COLORADO OSP.0005525
CONNECTICUT PCN.0000575, CSW.0002159
DELAWARE A9-0000809, PH-0009696, A4-0001971
DISTRICT OF COLUMBIA NRX0000194, NCP0000079
FLORIDA PH 20820 , 40583
GEORGIA PHNR000613, PHWH002366
HAWAII PMP-386
IDAHO 2088MS, PR37729
ILLINOIS 54.01535 , 4.003742
INDIANA 64000584A
IOWA 3552, 22321
KANSAS 22-02243
KENTUCKY SD 1221, 16958, W02309
LOUISIANA PHY.005749-NR, PST.020610
MAINE MO40000590
MARYLAND P04520 , 481732, 22924,
MASSACHUSETTS Not Required
MICHIGAN 5301007998, 5315020081, 5302043125
MINNESOTA 262493, 122071, 361759
MISSISSIPPI 06348/ 7.1, CS06348/7.1, T-13427
MISSOURI 2009038920
MONTANA PHA-MOP-LIC-1702
NEBRASKA 435, 14736
NEVADA PH01971, WH01952
NEW HAMPSHIRE NR0395
NEW JERSEY 28RO00045900, 5003330
NEW MEXICO PH00002667, CS00210130
NEW YORK 28233, 32277
NORTH CAROLINA 9483 , 700
NORTH DAKOTA PHAR634
OHIO NRP.021662650-03, WSAM.011628800-02
OKLAHOMA 99-882, 47193, 17357
OREGON RP-0002108-CS, RPH-0014472, W1-0002910-CS
PENNSYLVANIA NP000716, 3000008010
RHODE ISLAND PHN09768 , DIS01616
SOUTH CAROLINA 8990, 13-08990, 13867
SOUTH DAKOTA 100-1913, 100-1950, 6004, 600-1151
TENNESSEE 4111 , 38103
TEXAS 25326 , 1001012
UTAH 5711167-1708, 5711167-8913
VERMONT 36.0080653
VIRGINIA 2140001240, 202212902, 219001038
WASHINGTON PHNR.FO.00057770, DRSD.FX.00058831
WEST VIRGINIA MO0559728 ,MI000584, RP0008912, WD0558971,
WISCONSIN 387-043
WYOMING 43-57104A, 84AP04