Organization
LEWIS FAMILY DRUG, LLC
Active
Parent organization
LEWIS FAMILY DRUG, LLC
Other names
LTC Lewis Family Drug #56
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS FAMILY DRUG, LLC
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2800
Entity
Organization
Contact information
Practice address
599 2ND AVE N, WINDOM, MN 56101-1927
(507) 831-4161
Mailing address
2701 S MINNESOTA AVE STE 1, SIOUX FALLS, SD 57105-4746
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
261603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750471751
—
MN
Enumeration date
06/19/2017
Last updated
12/05/2024
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