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Avera Mckennan — NPI 1306601794, Rapid City, SD | NPI Central

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NPI 1306601794

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Avera Mckennan

NPI 1306601794 · Long Term Care Pharmacy · Rapid City, SD

Provider details

NPI number: 1306601794
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Ronald Place, President/Ceo(605) 322-7903

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers

Practice location

2801 Plant St

Rapid City, SD 57702-0304

Phone: (605) 322-1450

Fax: (605) 322-1451

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

Po Box 5045

Sioux Falls, SD 57117-5045

Other names (DBA / former)

Doing business as: Avera Long Term Care Pharmacy Rapid City

Registry dates

Enumerated: 2024-02-15
Last updated: 2024-02-15
Certified: 2024-02-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.