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Pharmaciesverification.Pdf South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration 100-1616 R/I ABERDEEN MEDICAL CENTER PHARMACY dba STATE STREET PHARMACY 105 S STATE ST STE 111 ABERDEEN SD 57401 605-225-1945 ROBIN FISCHER 4513 08/10/1994 06/30/2019 100-1861 LTC ABERDEEN MEDICAL CENTER PHARMACY dba DT PHARMACY 815 1ST AVE SE STE 202 ABERDEEN SD 57401 605-725-4001 JENNIFER DAGGETT 5148 05/03/2004 06/30/2019 ABERDEEN MEDICAL CENTER PHARMACY 100-0517 R/I INC dba UNITED CLINIC PHARMACY 3015 3RD AVE SE ABERDEEN SD 57401 605-225-4001 JOANN WREN 4367 06/30/2019 ABERDEEN MEDICAL CENTER PHARMACY 100-0518 R/I INC dba PLAZA PHARMACY 2201 6TH AVE SE STE 23 ABERDEEN SD 57401 605-225-6344 JONATHAN FLIEHS 5693 06/30/2019 100-1992 T ALIXA RX LLC dba ALIXARX-SKYLINE MILBANK 1103 S 2ND ST MILBANK SD 57252 877- 322-4292 BRIAN DRESSING 4100 04/04/2014 06/30/2019 100-1998 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE ARLINGTON 120 CARE CENTER DRIVE PO BOX 280 ARLINGTON SD 57212 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019 100-1999 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE MADISON 718 NE 8TH AVE MADISON SD 57042 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019 100-2000 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE LAKE NORDEN 803 PARK ST LAKE NORDEN SD 57248 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019 100-2001 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE WATERTOWN 415 4TH AVE NE WATERTOWN SD 57201 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019 100-2003 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE GROTON 1106 N 2ND ST GROTON SD 57445 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019 100-2004 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE SALEM 500 COLONIAL DR SALEM SD 57058 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019 100-2005 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE ARMOUR 106 BRADDOCK PO BOX 489 ARMOUR SD 57313 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019 100-2006 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE REDFIELD 1015 THIRD ST E REDFIELD SD 57469 877- 322-4292 KRISTEN CARTER R6106 06/11/2014 06/30/2019 dba ALIXARX-SKYLINE COVINGTON 100-2007 TELEPHARMACY ALIXA RX LLC HEIGHTS 3900 S CATHY AVE SIOUX FALLS SD 57106 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019 100-2008 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE IPSWICH 617 BLOEMENDAAL DR PO BOX 728 IPSWICH SD 57451 877- 322-4292 KRISTEN CARTER R6106 06/11/2014 06/30/2019 100-2009 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE CLARK 201 NW 8TH AVE CLARK SD 57225 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019 100-2012 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE PIERRE 950 E PARK ST PIERRE SD 57501 913- 307-8150 KRISTEN CARTER R6106 07/25/2014 06/30/2019 100-2013 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE MEADOWBROOK 2500 ARROWHEAD DR RAPID CITY SD 57702 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019 100-2014 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE BELLA VISTA 302 ST CLOUD ST RAPID CITY SD 57701 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019 100-2015 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE PRAIRIE HILLS 916 MOUNTAIN VIEW RD RAPID CITY SD 57702 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019 100-2016 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE BLACK HILLS 1620 N 7TH ST RAPID CITY SD 57701 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019 100-1913 MAIL SERVICE AMERIPHARM INC dba MEDVANTX PHARMACY SERVICES 2503 E 54TH ST N SIOUX FALLS SD 57104 866- 744-0621 JOEL ENGLE 6108 05/22/2006 06/30/2019 100-0044 R/I ANDERSON PHARMACY INC dba HAISCH PHARMACY 303 E 5TH ST CANTON SD 57013 605-987-2661 ARNE ANDERSON 4345 06/30/2019 100-1933 MO ANIMAL HEALTH INTERNATIONAL INC 4305 N WESTPORT AVE SIOUX FALLS SD 57107 970- 616-7411 ALINA VIZITEU 5492 10/03/2007 06/30/2019 200-1688 H AVERA DESMET MEMORIAL HOSPITAL 306 PRAIRIE AVE S DESMET SD 57249- 605-854-6140 ANNE NOPENS 4909 05/09/2008 06/30/2019 100-1980 HOSPITAL AVERA eCARE LLC dba AVERA SURGICALeCARE PHARMACY HOSPITAL - 4500 N LEWIS AVE SIOUX FALLS SD 57104 605- 322-8541 ANDREA DARR R5364 08/06/2012 06/30/2019 DEPARTMENT OF AVERA SACRED HEART 200-1677 H AVERA FOX RUN HEALTH CAMPUS HOSPITAL 2601 FOX RUN PKWY YANKTON SD 57078- 605-668-8303 MATTHEW J MERKEL R5498 02/28/2002 06/30/2019 200-1002 H AVERA GETTYSBURG HOSPITAL 606 E GARFIELD AVE GETTYSBURG SD 57442- 605-224-3301 BRAD SAATHOFF 5593 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration 200-1689 H AVERA GREGORY HEALTHCARE PHARMACY 400 PARK AVE GREGORY SD 57533- 605-835-8150 DAN FIEBELKORN 5465 06/27/2008 06/30/2019 AVERA HAND COUNTY MEMORIAL 200-1687 H HOSPITAL 300 W 5TH ST MILLER SD 57362- 605-853-2421 TRENT MERKWAN 4885 12/26/2007 06/30/2019 AVERA HEART HOSPITAL OF SOUTH 100-1816 H DAKOTA 4500 W 69TH ST SIOUX FALLS SD 57108 605-977-7285 KATHLEEN VAN HOVE 4234 10/23/2000 06/30/2019 dba AVERA MCKENNAN CAMPUS 100-0452 R/H AVERA MCKENNAN PHARMACY 1325 S CLIFF AVE STE CP SIOUX FALLS SD 57105 605-322-8326 CHRISTINE BURG 5134 06/30/2019 100-1663 HOME INFUSION/H AVERA MCKENNAN dba AVERA MCKENNAN HOME INFUSION 1020 S CLIFF AVE SIOUX FALLS SD 57105 605-322-8322 OBADIAH SCHEICH 5611 10/21/1996 06/30/2019 100-1867 COMPOUNDING AVERA MCKENNAN dba AVERA SPECIALTY PHARMACY 1301 S CLIFF AVE STE 200 SIOUX FALLS SD 57105 605- 322-8300 MATTHEW TOENNIES 5594 03/29/2005 06/30/2019 100-1965 R/H AVERA MCKENNAN dba AVERA DERMATOLOGY PHARMACY 6701 S MINNESOTA AVE SIOUX FALLS SD 57108 605-322-7695 JENNIFER BERGAN 5702 05/31/2011 06/30/2019 100-1967 R/H AVERA MCKENNAN AVERA 69TH STREET PHARMACY 4400 W 69TH ST STE 300 SIOUX FALLS SD 57108 605- 322-5948 AMANDA PLAETZ 5539 08/30/2011 06/30/2019 100-1973 C AVERA MCKENNAN dba AVERA COMPOUNDING PHARMACY 911 E 20TH ST STE 201 SIOUX FALLS SD 57105 605- 322-3940 KAREN HOFFMAN 5090 04/11/2012 06/30/2019 100-1994 LTC/H AVERA MCKENNAN dba AVERA LONG TERM CARE PHARMACY 3820 N POTSDAM AVE SIOUX FALLS SD 57104 605- 322-1450 MARK GERDES 4415 04/28/2014 06/30/2019 100-2048 R/H AVERA MCKENNAN dba AVERA 7TH AVE PHARMACY 1200 S 7TH AVE STE 101 SIOUX FALLS SD 57105 605- 322-8360 BRIANA SCHNEIDER 5349 04/24/2017 06/30/2019 100-2057 RETAIL-CHAIN AVERA MCKENNAN dba AVERA ON LOUISE 6100 S LOUISE AVE STE 1100 SIOUX FALLS SD 57108 DARREL MUTCHLER 5105 08/27/2018 06/30/2019 200-0048 H AVERA MCKENNAN dba AVERA DELLS AREA HOSPITAL 909 N IOWA AVE DELL RAPIDS SD 57022- 605-428-2430 JOHN DANIEL 6161 06/30/2019 200-0478 H AVERA MCKENNAN dba AVERA FLANDREAU HOSPITAL 214 N PRAIRIE ST FLANDREAU SD 57028- 605-997-2433 JOHN DANIEL 6161 06/30/2019 dba AVERA LONG-TERM CARE PHARMACY 200-1706 AMDD AVERA MCKENNAN HOSPITAL AMDD #1 1700 N HWY 281 ABERDEEN SD 57401- 605-322-1450 MARK GERDES 4415 09/26/2016 06/30/2019 200-1715 AVERA MCKENNAN HOSPITAL Wagner Dialysis 310 W HWY 46 WAGNER SD 57380- 605-322-8303 GLENN VOSS 4308 05/24/2018 06/30/2019 AVERA MCKENNAN HOSPITAL AND 100-0528 HOSPITAL UNIVERSITY HEALTH CENTER 1325 S CLIFF AVE SIOUX FALLS SD 57105 605- 322-8348 MICHAEL MEEKINS R6355 06/30/2019 AVERA MCKENNAN HOSPITAL AND 100-1940 HOSPITAL UNIVERSITY HEALTH CENTER BEHAVIORAL HEALTH CENTER 4400 W 69TH ST SIOUX FALLS SD 57108 605- 322-5912 ANNE MORSTAD 5099 06/03/2008 06/30/2019 AVERA MCKENNAN PHARMACY EAST 4500 S PRINCE OF PEACE 200-1697 OFF CAMPUS INPATIENT CAMPUS PLACE SIOUX FALLS SD 57103- 605-322-5912 ANNE MORSTAD 5099 10/14/2015 06/30/2019 AVERA MEDICAL GROUP FAMILY HEALTH 200-1704 HOSPITAL ER DEPT CENTER EMERGENCY DEPARTMENT ATTN: PHARMACY 2100 S MARION RD SIOUX FALLS SD 57106- 605-322-1730 RYAN WAYBRIGHT 5827 08/19/2016 06/30/2019 100-2030 R/H AVERA QUEEN OF PEACE dba AVERA GRASSLAND PHARMACY 1900 GRASSLAND DR STE 101 MITCHELL SD 57301 605- 995-5670 SHAWNA HECK 4618 09/02/2015 06/30/2019 100-1023 H AVERA QUEEN OF PEACE HOSPITAL 525 N FOSTER ST MITCHELL SD 57301 605- 995-2237 ERIC K LARSON 4554 06/30/2019 57078- 100-1214 H AVERA SACRED HEART PHARMACY 501 SUMMIT ST YANKTON SD 3899 605-668-8303 MATTHEW MERKEL R5498 06/30/2019 200-1038 H AVERA ST BENEDICT HEALTH CENTER dba ST BENEDICT HEALTH CENTER 401 W GLYNN DR PARKSTON SD 57366- 605-928-3311 SUZANNE WEBER 4719 06/30/2019 57401- 100-0486 H AVERA ST LUKE'S PHARMACY dba AVERA ST LUKE'S HOSPITAL 305 S STATE ST ABERDEEN SD 4590 605-622-5545 ALVIN HAUGEN R4430 06/30/2019 dba AVERA ST MARY'S CAMPUS 100-2044 R/H AVERA ST MARY'S PHARMACY 100 MAC LN STE 101 PIERRE SD 57501 605- 224-7334 BRITTANY DOWLING 6065 09/20/2016 06/30/2019 100-0465 H AVERA ST MARY'S HOSPITAL 801 E SIOUX AVE PIERRE SD 57501 605-224-3301 BRAD SAATHOFF 5593 05/16/2008 06/30/2019 AVERA WESKOTA MEMORIAL MEDICAL WESSINGTON 200-0994 H CENTER 604 1ST ST NE SPRINGS SD 57382- 605-539-1201 STEPHANIE JUNGEMANN 6158 06/01/2000 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration 100-0540 RETAIL INDEPENDENT B & L INC dba BOYDS DRUG MART 655 MT VIEW RD RAPID CITY SD 57701 605-343-4445 STEVE TSCHETTER R5017 06/30/2019 100-0980 R/I B & L INC dba BOYDS DRUG MART (EAST) 909 E ST PATRICK ST RAPID
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