Avera St. Mary'S Campus Pharmacy

LBN: Avera St. Mary'S
Avera St. Mary'S Campus Pharmacy is an health care organization with primary practice located at 100 Mac Ln Suite 101, Pierre SD 57501-3391. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Avera St. Mary'S can be contacted via phone (605) 224-7334, or through Holland, Mikel via phone (605) 224-3144.

Contact Information

Primary practice address
100 Mac Ln Suite 101 Pierre SD 57501-3391
Fax: (605) 945-4292
Website:
Authorized official contact:
Name: Holland, Mikel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 100-2044 South Dakota
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1932651122
LBN Legal business name Avera St. Mary'S
DBA Doing business as Avera St. Mary'S Campus Pharmacy
Authorized official Holland, Mikel
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2016
Last updated Jul 15th, 2022 - about 2 years ago

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 1932651122 NPPES
Other 2165791 PK

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