| NPI | 1164492906 |
|---|---|
| Doing Business As | AVERA MCKENNAN HOME INFUSION |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: SD 1001663) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 100-1663) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: SD 100-1663) | |
| 333600000X Pharmacy (Licence: SD 1001663) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: SD 100-1663) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: SD 100-1663) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-10-04 |