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AVERA MCKENNAN NPI 1205311628


NPI Information

NPI: 1205311628
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA ON LOUISE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 43D2171470

Address:
6100 S LOUISE AVE STE 1100
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 504-1351
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AVERA MCKENNAN is a pharmacy in Sioux Falls, SD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. AVERA MCKENNAN NPI is 1205311628. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera On Louise Pharmacy.

The provider's business location address is:

6100 S LOUISE AVE STE 1100
SIOUX FALLS, SD
ZIP 57108-021
Phone: (605) 504-1351
Fax: (605) 504-1352

The provider's authorized official is Ronald Joseph Place .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7903.

The CLIA number assigned to this NPI record is 43D2171470 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/2/2018 and was last updated on 10/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.