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 |