Lewis Family Drug #75

LBN: Lewis Family Drug, Llc
Lewis Family Drug #75 is an health care organization with primary practice located at 825 3Rd St , Jackson MN 56143-1187. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding 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 (507) 847-3282, or through Nielsen, David via phone (605) 367-2850.

Contact Information

Primary practice address
825 3Rd St Jackson MN 56143-1187
Phone: (507) 847-3282
Fax: (507) 847-5391
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, David
Phone: (605) 367-2850

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 264360 Minnesota
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1285050864
LBN Legal business name Lewis Family Drug, Llc
DBA Doing business as Lewis Family Drug #75
Authorized official Nielsen, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2014
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 1285050864 NPPES
Other 2145427 PK
MEDICAID 1285050864 PK

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