| NPI | 1386738102 |
|---|---|
| Doing Business As | AVERA ST LUKES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RON JACOBSON Pres 605-627-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: SD 1000486) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-09-13 |