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Organization

LEWIS FAMILY DRUG, LLC

Active
Other names
Lewis Family Drug #75
Organization subpart
No

Provider details

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

Contact information

Practice address
825 3RD ST, JACKSON, MN 56143-1187
(507) 847-3282
(507) 847-5391
Mailing address
2701 S MINNESOTA AVE, SUITE 1, SIOUX FALLS, SD 57105-4744
(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
264360
MN
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285050864
MN
01
2145427
PK
Enumeration date
03/06/2014
Last updated
12/05/2024
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