340B Drug Pricing Program Database

Pharmacy Name

LEWIS FAMILY DRUG #68

Pharmacy Address

111 CALUMET AVE SW
DE SMET, SD 57231

Pharmacy Comments

Approval Date

7/15/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Melissa Goff, Vice President - Pharmacy
(605) 322-8548

Contract Pharmacy Representative

Lewis Drug
Scott Cross, EVP
(605) 367-2800

Signed By Date

7/15/2022