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General NPI Number Information
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NPI Number | 1700975323
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Entity Type | Organization
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Legal Business Name | LEWIS DRUGS, INC.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 115 N SPLITROCK BLVD
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City | BRANDON
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State | SD
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Zip | 57005-1529
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Country | US
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Telephone | 605-367-2910
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Fax | 605-367-2915
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Provider Business Mailing Address
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Address Line | 2701 S MINNESOTA AVE SUITE 1
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City | SIOUX FALLS
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State | SD
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Zip | 57105-4744
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Country | US
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Telephone | 605-367-2800
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Fax | 605-367-2876
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Authorized Official
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Title or Position | EVP/CFO
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Name | SCOTT CROSS
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Credential |
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Telephone | 605-367-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1001661
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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