Organization
LEWIS FAMILY DRUG, LLC
Active
Other names
Lewis Family Drug #68
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE NIELSEN (DIRECTOR OF CORPORATE SERVICES)
(605) 367-2800
Entity
Organization
Contact information
Practice address
111 CALUMET AVE SW, DE SMET, SD 57231
(605) 854-9033
(605) 854-9114
Mailing address
2701 S MINNESOTA AVE STE 1, SIOUX FALLS, SD 57105-4746
(605) 367-2800
(605) 367-2876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
100-1879
SD
3336C0003X
Community/Retail Pharmacy
Primary
100-1879
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102113
IMMUNIZATION - LEGACY
SD
05
—
8504430
—
SD
Enumeration date
08/05/2006
Last updated
07/21/2022
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