Avera 7Th Avenue Pharmacy
LBN: Avera Mckennan
Avera 7Th Avenue Pharmacy is an health care organization with primary practice located at 1200 S. 7Th Avenue Suite 101, Sioux Falls SD 57105. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 336-1816, or through Place, Ronald Joseph via phone (605) 322-7903.
Contact Information
Primary practice address
1200 S. 7Th Avenue Suite 101
Sioux Falls SD 57105
Phone: (605) 336-1816
Fax: (605) 504-0201
Website:
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 100-2048 | South Dakota |
Profile Details
| NPI number | 1316463219 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera 7Th Avenue Pharmacy |
| Authorized official | Place, Ronald Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2017 |
| Last updated | Oct 4th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316463219 | NPPES |
| Other | 4354813 | NCPDP |
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