Avera Mckennan
Pharmacy
4400 W 69th St Ste 300, Sioux Falls
South Dakota, 57108-8170
605-322-5948 605-322-5949
Avera Mckennan is a Pharmacy in Sioux Falls, South Dakota. It is located at 4400 W 69th St Ste 300, Sioux Falls and it's customer support contact number is 605-322-5948. The authorized person of Avera Mckennan is Darrel Mutchler, PHARMD who is Retail Pharmacy Manager of the pharmacy and his contact number is 605-322-8331. Active license number of Avera Mckennan is 4574 for Pharmacy in Iowa.
Avera Mckennan is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: | Pharmacy |
| Location: | 4400 W 69th St Ste 300, Sioux Falls,
South Dakota, 57108-8170 |
| Phone: | 605-322-5948 |
| Fax: | 605-322-5949 |
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: | Darrel Mutchler |
| Credentials: | PHARMD |
| Position: | Retail Pharmacy Manager |
| Contact Number: | 605-322-8331 |
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: | 1962787440 |
| NPI Enumeration Date: | 17 Oct, 2011 |
| NPI Last Update On: | 19 Jul, 2018 |
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 | |
| Pharmacy | 4574 | Iowa | Primary | |
| Pharmacy | 100-1967 | South Dakota | Secondary | |
| Pharmacy | 1020 | Nebraska | Secondary | |
| Community/Retail Pharmacy | 054.019698 | Illinois | Secondary | |
| Specialty Pharmacy | 264333 | Minnesota | 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 |
| 2132318 | Other | | Pk |
| 1962787440 | Medicaid | Minnesota | |
| 1962787440 | Medicaid | Iowa | |
| 1962787440 | Medicaid | South Dakota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4400 W 69th St Ste 300,
Sioux Falls, South Dakota |
| Zip: | 57108-8170 |
| Phone Number: | 605-322-5948 |
| Fax Number: | 605-322-5949 |
Patients can reach Avera Mckennan at
4400 W 69th St Ste 300, Sioux Falls, South Dakota or can
call on customer care at 605-322-5948.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.