NPI | 1023107646 |
---|---|
Other Name | LEWIS FAMILY DRUG #51 |
Entity Type | Organization |
Authorized Contact | SCOTT CROSS EVP 605-367-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 261602) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2018-01-31 |