# SANFORD MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEWIS FAMILY DRUG \#58
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487744488
- **Authorized official:** APRIL STEIN (PHARMACY OPERATIONS COORDINATOR)
- **Authorized official phone:** (605) 367-2850

## Contact information

- **Practice address:** 104 W PARK AVE, VIBORG, SD 57070-2048
- **Practice address phone:** (605) 326-5211
- **Mailing address:** 2701 S MINNESOTA AVE STE 1, SIOUX FALLS, SD 57105-4746
- **Mailing address phone:** (605) 367-2800
- **Mailing address fax:** (605) 367-2876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 1001791 | SD | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 1001791 | SD | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 04/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1001791 | STATE PHARMACY LICENSE | SD |
| 01 | — | 102113 | IMMUNIZATION - LEGACY | SD |
| 01 | — | 4304820 | NCPDP | — |
| 05 | — | 8504090 | — | SD |