| NPI | 1851396550 |
|---|---|
| Doing Business As | AVERA QUEEN OF PEACE HOME MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 100-1023) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: SD 100-1023) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-20 |