340B Drug Pricing Program Database

Pharmacy Name

LEWIS FAMILY DRUG #70

Pharmacy Address

LEWIS FAMILY DRUG, LLC
127 E 2ND AVE.
FLANDREAU, SD 57028

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

8/9/2011

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DAVE KAPASKA, REGIONAL PRESIDENT/CEO
(605) 322-7808

Contract Pharmacy Representative

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

Signed By Date

7/26/2011