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Organization
AVERA ST. MARY'S
Active
Organization
AVERA ST. MARY'S
Active
Other names
Avera St. Mary's Campus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL SHAMIELE KREBS (CEO/PRESIDENT)
(605) 224-3144
Entity
Organization
Contact information
Practice address
100 MAC LN, SUITE 101, PIERRE, SD 57501-3391
(605) 224-7334
(605) 945-4292
Mailing address
100 MAC LN, SUITE 101, PIERRE, SD 57501-3391
(605) 224-7334
(605) 945-4292
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
100-2044
SD
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165791
PK
—
Enumeration date
11/04/2016
Last updated
01/20/2026
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