Avera Long Term Care Pharmacy

LBN: Avera Mckennan
Avera Long Term Care Pharmacy is an health care organization with primary practice located at 3820 N Potsdam Ave Ste 2 , Sioux Falls SD 57104-7057. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-1450, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
3820 N Potsdam Ave Ste 2 Sioux Falls SD 57104-7057
Phone: (605) 322-1450
Fax: (605) 322-1451
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X 100-1994 South Dakota

Profile Details

NPI number 1669871000
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Long Term Care Pharmacy
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2014
Last updated Oct 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669871000 NPPES
Other 2147429 PK

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