Lewis Family Drug #58

LBN: Lewis Family Drug, Llc
Lewis Family Drug #58 is an health care organization with primary practice located at 104 W Park Ave , Viborg SD 57070. 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) 326-5211, or through Nielsen, David via phone (605) 367-2824.

Contact Information

Primary practice address
104 W Park Ave Viborg SD 57070
Phone: (605) 326-5211
Fax: (605) 326-5341
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, David
Phone: (605) 367-2824

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1001791 South Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 1001791 South Dakota

Profile Details

NPI number 1487744488
LBN Legal business name Lewis Family Drug, Llc
DBA Doing business as Lewis Family Drug #58
Authorized official Nielsen, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Jan 28th, 2016 - about 10 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 1487744488 NPPES
South Dakota Other 102113 IMMUNIZATION - LEGACY
South Dakota MEDICAID 8504090 IMMUNIZATION - LEGACY
South Dakota Other 4304820 IMMUNIZATION - LEGACY
South Dakota Other 1001791 IMMUNIZATION - LEGACY

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