Avera Mckennan
NPI #1205311628 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1205311628
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 4, 2023
Practice Location
- Address
- 6100 S LOUISE AVE STE 1100
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57108-6021
- Phone
- (605) 504-1351
Authorized Official
- Name
- RONALD JOSEPH PLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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