| NPI | 1861110876 |
|---|---|
| Doing Business As | AVERA PLAZA 2 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-08-02 |