Organization
LEWIS FAMILY DRUG LLC
Active
Other names
LEWIS FAMILY DRUG #54
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2800
Entity
Organization
Contact information
Practice address
2202 17TH STREET, SPIRIT LAKE, IA 51360
(712) 336-4731
(712) 336-4732
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
858
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
858
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176727
—
IA
01
—
1619432
NCPDP
—
Enumeration date
10/13/2006
Last updated
12/05/2024
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