Lewis Family Drug #66

LBN: Lewis Family Drug, Llc
Lewis Family Drug #66 is an health care organization with primary practice located at 911 W Cedar St Ste 1 , Beresford SD 57004-1616. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lewis Family Drug, Llc can be contacted via phone (605) 763-2633, or through Nielsen, Dave via phone (605) 367-2824.

Contact Information

Primary practice address
911 W Cedar St Ste 1 Beresford SD 57004-1616
Phone: (605) 763-2633
Fax: (605) 763-2303
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Dave
Phone: (605) 367-2824

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1001865 South Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1255420873
LBN Legal business name Lewis Family Drug, Llc
DBA Doing business as Lewis Family Drug #66
Authorized official Nielsen, Dave
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 22nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255420873 NPPES
Other 4353695 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 8504210 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 21473LE OTHER ID NUMBER-COMMERCIAL NUMBER

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