OrganizationActive
Avera Mckennan
NPI 1962787440 · Pharmacy · Sioux Falls, SD
Provider details
- NPI number
- 1962787440
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Darrel Mutchler, Retail Pharmacy Manager(605) 322-8331
- License
- 100-1967 (SD)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
Practice location
4400 W 69th St Ste 300
Sioux Falls, SD 57108-8170
Phone: (605) 322-5948
Fax: (605) 322-5949
Approximate (ZIP-level) locationGet directions
Mailing address
4400 W 69th St Ste 300
Sioux Falls, SD 57108-8170
Other names (DBA / former)
- Doing business as
- Avera 69th Street Pharmacy
Registry dates
- Enumerated
- 2011-10-17
- Last updated
- 2018-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.