NPI | 1396158515 |
---|---|
Doing Business As | LEWIS FAMILY DRUG #78 |
Entity Type | Organization |
Authorized Contact | DAVE NIELSEN Director Of Corporate Services 605-367-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SD 1002002) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2014-06-05 |
Last Update Date | 2017-02-27 |