Avera Mckennan
NPI #1306601794 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1306601794
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Feb 15, 2024
- Last Updated
- Feb 15, 2024
Practice Location
- Address
- 2801 PLANT ST
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-0304
- Phone
- (605) 322-1450
Authorized Official
- Name
- RONALD J. PLACE
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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| Genoa Healthcare LLC | |
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