Organization
AVERA ST LUKES
Active
Other names
AVERA PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TESS MOELLER (VP)
(605) 622-2807
Entity
Organization
Contact information
Practice address
2105 6TH AVE SE STE 24, ABERDEEN, SD 57401-6510
(605) 322-8331
Mailing address
911 E 20TH ST STE 500, SIOUX FALLS, SD 57105-1047
(605) 322-8331
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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