Organization
LEWIS FAMILY DRUG, LLC
Active
Other names
Lewis Family Drug #67
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CROSS (EVP/CFO)
(605) 367-2800
Entity
Organization
Contact information
Practice address
420 2ND AVE, SIBLEY, IA 51249-1205
(712) 754-3859
(712) 754-4271
Mailing address
2701 S MINNESOTA AVE, SUITE 1, SIOUX FALLS, SD 57105-4744
(605) 367-2850
(605) 367-2876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1382
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127846
PK
—
Enumeration date
12/02/2010
Last updated
12/05/2024
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