Healthcare Provider Details

I. General information

NPI: 1336719236
Provider Name (Legal Business Name): LEWIS DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 S MAIN ST STE 1
HOWARD SD
57349-9057
US

IV. Provider business mailing address

2701 S MINNESOTA AVE STE 1
SIOUX FALLS SD
57105-4746
US

V. Phone/Fax

Practice location:
  • Phone: 605-772-4400
  • Fax: 605-772-4433
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SCOTT CROSS
Title or Position: EVP/CFO
Credential:
Phone: 605-367-2850