Organization · Type 2 NPI

Avera Queen of Peace

Community/Retail Pharmacy · Mitchell, SD

NPI number 1710359252 Active

Practice location

1900 Grassland Dr, Ste 101
Mitchell, SD 57301

Fax (605) 996-6805

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	100-2030 (SD)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

30 other providers at this address

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NPI record

NPI: 1710359252
Entity type: Organization (Type 2)
Issued: Oct 23, 2015
Last updated: Sep 14, 2020
Status: Active

Other names

<unavail>
Avera Grassland Pharmacy · doing business as
Avera Grassland Pharmacy · doing business as

Authorized official

Douglas Ekeren
President/ceo
(605) 668-8321

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710359252

Avera Queen of Peace's National Provider Identifier is 1710359252, issued on Oct 23, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mitchell, SD. The record was last updated on Sep 14, 2020.