Organization
LEWIS FAMILY DRUG, LLC
Active
Other names
Retail Lewis Family Drug #56
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2850
Entity
Organization
Contact information
Practice address
599 2ND AVE N, WINDOM, MN 56101-1927
(507) 831-4161
(507) 831-4289
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
2616036
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
261603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422791
NCPDP
—
05
—
950516400
—
MN
Enumeration date
10/13/2006
Last updated
12/05/2024
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