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

4/17/2023

Contract Begin Date

5/8/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Melissa Hofer, Chief Financial Officer
(605) 772-4525

Contract Pharmacy Representative

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

Signed By Date

4/17/2023