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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera 7th Avenue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
1200 S. 7TH AVENUE, SUITE 101, SIOUX FALLS, SD 57105
(605) 336-1816
(605) 504-0201
Mailing address
1200 S. 7TH AVENUE, SUITE 101, SIOUX FALLS, SD 57105
(605) 336-1816
(605) 504-0201
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
100-2048
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4354813
NCPDP
—
Enumeration date
08/22/2017
Last updated
10/04/2023
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