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Organization

LEWIS FAMILY DRUG, LLC

Active
Other names
LEWIS FAMILY DRUG #66
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2800
Entity
Organization

Contact information

Practice address
911 W CEDAR ST STE 1, BERESFORD, SD 57004-1616
(605) 763-2633
(605) 763-2303
Mailing address
2701 S MINNESOTA AVE, SUITE 1, SIOUX FALLS, SD 57105-4744
(605) 367-2800
(605) 367-2876

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
1001865
SD
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21473LE
ND
01
4353695
OTHER ID NUMBER-COMMERCIAL NUMBER
05
8504210
SD
Enumeration date
10/12/2006
Last updated
12/05/2024
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