Organization
LEWIS FAMILY DRUG, LLC
Active
Other names
Lewis Family Drug #76
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2850
Entity
Organization
Contact information
Practice address
326 MAIN ST, LAKEFIELD, MN 56150-1200
(507) 662-5817
(507) 662-6169
Mailing address
2701 S MINNESOTA AVE, SUITE 1, SIOUX FALLS, SD 57105-4744
(605) 367-2850
(605) 367-2890
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
264359
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194142901
—
MN
01
—
2145428
PK
—
Enumeration date
03/19/2014
Last updated
12/05/2024
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