Organization
LEWIS FAMILY DRUG LLC
Active
Other names
LEWIS FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2850
Entity
Organization
Contact information
Practice address
143 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2704
(712) 722-2706
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
868
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176735
—
IA
01
—
1619406
NCPDP
—
Enumeration date
10/12/2006
Last updated
12/05/2024
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