| NPI | 1205311628 |
|---|---|
| Doing Business As | AVERA ON LOUISE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2023-10-04 |