Organization
LEWIS FAMILY DRUG L L C
Active
Other names
LEWIS FAMILY DRUG #51
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP)
(605) 367-2800
Entity
Organization
Contact information
Practice address
202 S KNISS AVE, LUVERNE, MN 56156-1775
(507) 283-9549
(507) 283-9540
Mailing address
2701 S MINNESOTA AVE STE 1, SUITE 1, SIOUX FALLS, SD 57105-4746
(605) 367-2850
(605) 367-2876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261602
MN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047913
PK
—
05
—
534715700
—
MN
Enumeration date
10/12/2006
Last updated
01/31/2018
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