| NPI | 1710359252 |
|---|---|
| Doing Business As | AVERA GRASSLAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 100-2030) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-09-14 |