Organization · Type 2 NPI

Avera McKennan

Pharmacy · Sioux Falls, SD

NPI number 1205311628 Active

Practice location

6100 S Louise Ave Ste 1100
Sioux Falls, SD 57108-6021

Call (605) 504-1351 Map

Fax (605) 504-1352

Mailing address

PO Box 5045, Cbo Prv Enrlmt Palm Place
Sioux Falls, SD 57117-5045

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: 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 lo…

3 other providers at this address

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NPI record

NPI: 1205311628
Entity type: Organization (Type 2)
Issued: Oct 2, 2018
Last updated: Oct 4, 2023
Status: Active

Other names

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Avera On Louise Pharmacy · doing business as
Avera On Louise Pharmacy · doing business as

Authorized official

Ronald Joseph Place, MD
President/ceo
(605) 322-7903

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About NPI 1205311628

Avera McKennan's National Provider Identifier is 1205311628, issued on Oct 2, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Sioux Falls, SD. The record was last updated on Oct 4, 2023.