Organization
LEWIS FAMILY DRUG, LLC
Active
Parent organization
LEWIS FAMILY DRUG, LLC
Other names
Lewis Family Drug #45
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS FAMILY DRUG, LLC
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2850
Entity
Organization
Contact information
Practice address
1105 13TH AVE S, SAINT JAMES, MN 56081
(507) 375-9100
Mailing address
2701 S MINNESOTA AVE STE 1, SIOUX FALLS, SD 57105-4746
(605) 367-2850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639634710
—
MN
Enumeration date
02/04/2019
Last updated
12/05/2024
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