NPI 1386738102

Avera St Lukes

Organisation Institutional Pharmacy Aberdeen, SD

Practice location

Address: 305 S State St, Aberdeen, SD 57401-4527
Phone: (605) 622-5545
Fax: (605) 622-5019

Authorised official

Name: Ron Jacobson
Title: Pres
Phone: (605) 627-5625

Registered specialties (2)

Institutional Pharmacy Primary

Suppliers Taxonomy 3336I0012X Licence 1000486 (SD)

Other Pharmacy providers in South Dakota →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1386738102
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 13 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.