NPI | 1841380847 |
---|---|
Doing Business As | LEWIS FAMILY DRUG #54 |
Entity Type | Organization |
Authorized Contact | DAVE NIELSEN Director Of Corporate Services 605-367-2824 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: IA 858) |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 858) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2016-01-28 |