Organization
AVERA MCKENNAN
Active
Other names
AVERA LONG TERM CARE PHARMACY RAPID CITY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J. PLACE (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
2801 PLANT ST, RAPID CITY, SD 57702-0304
(605) 322-1450
(605) 322-1451
Mailing address
PO BOX 5045, CBO PROV ENRLMT, SIOUX FALLS, SD 57117-5045
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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