| NPI | 1932651122 |
|---|---|
| Doing Business As | AVERA ST. MARY'S CAMPUS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKEL HOLLAND CEO/President 605-224-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 100-2044) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-07-15 |