Organization
LEWIS FAMILY DRUG, LLC
Active
Other names
LEWIS FAMILY DRUG #60
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2850
Entity
Organization
Contact information
Practice address
715 E 5TH ST, CANTON, SD 57013-1829
(605) 987-4284
(605) 987-4156
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
1001790
SD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
1001790
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102113
IMMUNIZATION - LEGACY
SD
01
—
4304818
NCPDP
—
05
—
8504091
—
SD
Enumeration date
10/12/2006
Last updated
12/05/2024
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