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
Phone: (605) 224-7334
Fax: (605) 945-4292
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1932651122 | NPPES |
| Other | 2165791 | PK |
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