Organization
LEWIS FAMILY DRUG, LLC
Active
Other names
LEWIS FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NIELSEN (DIR OF CORP SVCS)
(605) 367-2824
Entity
Organization
Contact information
Practice address
7220 W 41ST ST, SIOUX FALLS, SD 57106-6038
(605) 367-2010
(605) 274-2142
Mailing address
2701 S MINNESOTA AVE, SUITE 1, SIOUX FALLS, SD 57105-4744
(605) 367-2800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1001877
SD
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353796
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8504280
—
SD
Enumeration date
07/22/2006
Last updated
12/20/2007
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