Lewis Family Drug #60
LBN: Lewis Family Drug, Llc
Lewis Family Drug #60 is an health care organization with primary practice located at 715 E 5Th St , Canton SD 57013-1829. 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) 987-4284, or through Nielsen, Dave via phone (605) 367-2824.
Contact Information
Primary practice address
715 E 5Th St
Canton SD 57013-1829
Phone: (605) 987-4284
Fax: (605) 987-4156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 1001790 | South Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 1001790 | South Dakota |
Profile Details
| NPI number | 1619066230 |
|---|---|
| LBN Legal business name | Lewis Family Drug, Llc |
| DBA Doing business as | Lewis Family Drug #60 |
| Authorized official | Nielsen, Dave |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619066230 | NPPES |
| South Dakota | MEDICAID | 8504091 | |
| South Dakota | Other | 4304818 | |
| South Dakota | Other | 102113 |
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