| NPI | 1306601794 |
|---|---|
| Doing Business As | AVERA LONG TERM CARE PHARMACY RAPID CITY |
| Entity Type | Organization |
| Authorized Contact | RONALD J. PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |