Avera Mckennan
Compounding Pharmacy
4101 W Memory Cir Ste 115, Sioux Falls
South Dakota, 57107-6503
605-322-3940 605-322-3941
Avera Mckennan is a Compounding Pharmacy in Sioux Falls, South Dakota. It is located at 4101 W Memory Cir Ste 115, Sioux Falls and it's customer support contact number is 605-322-3940. The authorized person of Avera Mckennan is Ronald Joseph Place, MD who is President/ceo of the pharmacy and his contact number is 605-322-7903. Active license number of Avera Mckennan is 1001973 for Compounding Pharmacy in South Dakota.
Avera Mckennan is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Avera Mckennan type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Avera Mckennan |
| Type: | Compounding Pharmacy |
| Location: | 4101 W Memory Cir Ste 115, Sioux Falls,
South Dakota, 57107-6503 |
| Phone: | 605-322-3940 |
| Fax: | 605-322-3941 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ronald Joseph Place |
| Credentials: | MD |
| Position: | President/ceo |
| Contact Number: | 605-322-7903 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1467711739 |
| NPI Enumeration Date: | 08 May, 2012 |
| NPI Last Update On: | 24 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera Mckennan are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 1001973 | South Dakota | Primary | |
| Pharmacy | PH29727 | Florida | Secondary | |
| Community/Retail Pharmacy | 4140 | Iowa | Secondary | |
| Compounding Pharmacy | 263952 | Minnesota | Secondary | |
| Compounding Pharmacy | 714 | Nebraska | Secondary | |
| Compounding Pharmacy | Y006782 | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2134952 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4101 W Memory Cir Ste 115,
Sioux Falls, South Dakota |
| Zip: | 57107-6503 |
| Phone Number: | 605-322-3940 |
| Fax Number: | 605-322-3941 |
Patients can reach Avera Mckennan at
4101 W Memory Cir Ste 115, Sioux Falls, South Dakota or can
call on customer care at 605-322-3940.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.