Organization
AVERA MCKENNAN
Active
Other names
Avera on Louise 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
6100 S LOUISE AVE STE 1100, SIOUX FALLS, SD 57108-6021
(605) 504-1351
(605) 504-1352
Mailing address
PO BOX 5045, CBO PRV ENRLMT PALM PLACE, SIOUX FALLS, SD 57117-5045
(605) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/04/2023
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