Organization
AVERA ST LUKES
Active
Other names
AVERA STATE STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALLAN FORKEL (PRESIDENT/CEO)
(605) 622-5125
Entity
Organization
Contact information
Practice address
105 S STATE ST STE 101, ABERDEEN, SD 57401-4501
(605) 322-8331
Mailing address
911 E 20TH ST STE 500, SIOUX FALLS, SD 57105-1047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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