Lewis Family Pharmacy #64
LBN: Lewis Family Drug, Llc
Lewis Family Pharmacy #64 is an health care organization with primary practice located at 1420 W 22Nd St Ste 103, Sioux Falls SD 57105-0407. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lewis Family Drug, Llc can be contacted via phone (605) 328-2620, or through Nielsen, David via phone (605) 367-2824.
Contact Information
Primary practice address
1420 W 22Nd St Ste 103
Sioux Falls SD 57105-0407
Phone: (605) 328-2620
Fax: (605) 328-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 1001856 | South Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1346339967 |
|---|---|
| LBN Legal business name | Lewis Family Drug, Llc |
| DBA Doing business as | Lewis Family Pharmacy #64 |
| Authorized official | Nielsen, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Dec 20th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346339967 | NPPES |
| Other | 4353239 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 8502800 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 0573899 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 761133100 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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