NPI 1912011867
Avera St Lukes
Practice location
- Address
- 305 S State St, Aberdeen, SD 57401-4527
- Phone
- (605) 622-5000
- Fax
- (605) 622-5255
Authorised official
- Name
- Ronald L Jacobson
- Title
- Ceo
- Phone
- (605) 622-5125
Registered specialties (3)
Oxygen Equipment & Supplies (DME)
Primary
Institutional Pharmacy
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1912011867
- Entity type
- Organization
- NPI issued
- 18 Aug 2006
- Record last updated
- 22 Oct 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.