Avera Mckennan
NPI #1669871000 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1669871000
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 21, 2014
- Last Updated
- Apr 29, 2025
Practice Location
- Address
- 4101 W MEMORY CIRCLE
- Address 2
- STE 120
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57107-6504
- Phone
- (855) 322-6922
Authorized Official
- Name
- RONALD JOSEPH PLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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