Organization
LEWIS FAMILY DRUG LLC
Active
Other names
Lewis Family Drug #37
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO/AO)
(605) 367-2800
Entity
Organization
Contact information
Practice address
204 W MAIN ST, ELK POINT, SD 57025
(605) 356-3336
(605) 356-3202
Mailing address
2701 S MINNESOTA AVE STE 1, SIOUX FALLS, SD 57105-4746
(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
1002034
SD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447624846
—
SD
01
—
2155527
PK
—
Enumeration date
11/23/2015
Last updated
04/06/2017
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