Organization
LEWIS FAMILY DRUG LLC
Active
Other names
Lewis Family Drug #35
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO/AO)
(605) 367-2800
Entity
Organization
Contact information
Practice address
686 US HWY 12, ORTONVILLE, MN 56278-1409
(320) 839-3825
(320) 839-2508
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
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346656998
—
MN
01
—
2147133
PK
—
Enumeration date
07/03/2014
Last updated
10/03/2024
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