Organization · Type 2 NPI
Avera ST Lukes
Oxygen Equipment & Supplies (DME) · Aberdeen, SD
NPI number
1912011867
Active
Practice location
305 S State St
Aberdeen, SD 57401-4527
Fax (605) 622-5255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 10525 (SD) |
| Institutional Pharmacy | 3336I0012X | 10525 (SD) |
| Prosthetic/Orthotic Supplier | 335E00000X | 10525 (SD) |
Oxygen Equipment & Supplies (DME): Definition to come...
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About NPI 1912011867
Avera ST Lukes's National Provider Identifier is 1912011867, issued on Aug 18, 2006. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Aberdeen, SD. The record was last updated on Oct 22, 2007.