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Dispatch · Case No. 001 South Dakota · Apr 2026

America's first 24/7 independent pharmacy opened in 1880.

Davis Pharmacy has been on the same corner in Vermillion, South Dakota for 146 years. Last November, it became the first independent in America to take care of patient's request 24 hours a day, 7 days a week. Here's how.

Davis Pharmacy · Open since 1880

On a Thursday night last November, Matt Lavin locked the door of Davis Pharmacy and heard the phone ringing inside.

Matt has been a pharmacist for thirty years. Seven years ago, he became the fourth-generation owner of Davis. The pharmacy has stood on the same corner in Vermillion, South Dakota since 1880. Through two world wars. Through the Spanish flu. Through every chain pharmacy that ever opened nearby. Five thousand prescriptions a month. One phone line.

He has a rule he's kept for thirty years: a phone in a pharmacy should never ring more than three times.

When the doors close, that rule becomes impossible to keep. What every independent pharmacist in America knows: when the pharmacy is closed, the patients don't stop calling. They just stop reaching anyone.

Matt had accepted this. The way his father had. The way his grandfather had.

That night, he didn't.

What he did next made Davis Pharmacy the first independent in America to take care of patient requests 24 hours a day, 7 days a week. He didn't hire anyone for the night shift.

Here's how he did it. ↓

The Problem

Two hundred calls a day. One pharmacy. Five staff.

Patients at the counter. Cars in the drive-thru. Voicemails piling up. Thirty over a weekend on a landline with no way to skip, no way to rewind. Miss the Rx number? Start the message over. From the top.

One phone. Two hundred calls. Every day.

Staff burned out. Patients hung up. Refills went to Walgreens. Every night at close, Matt locked the door knowing someone would need him at 9 p.m. and he wouldn't be there.

A pharmacy this size can't hire ten more people. We can't stay open 24 hours. But our patients deserve care whenever they need it.

The System

A system, built for non-stop patient care.

It refills prescriptions, answers questions, and routes clinical calls to the pharmacist. Always in two rings. Any hour. Live at Davis Pharmacy since November.

Davis Pharmacy · 24-Hour Coverage
LIVE
AI · 24 hours
Staff hours · 9 to 6
Calls Today
247
18% vs yesterday
Handled by AI
50%
Day & night · Davis week of Apr 21
Avg Pickup
2s
Beats Matt's rule
Now
Refill
Atorvastatin 20 mg
Sunday · 11:04 p.m. · Davis Pharmacy

Mrs. Halverson, 73, called for her blood pressure refill. The pharmacy had been closed for five hours. The phone picked up on the second ring. Her refill was confirmed in under two minutes.

One of 247 calls Davis answered that day. More than half came in after hours.
01
Listens like a person.
02
Routes like a pharmacist.
03
Never lets the phone ring more than twice.
Built for the Independent Pharmacy Community
Independent Owners· Pharmacy Techs· 4th-Generation Operators· NCPA Members
Watch · 52s
In Matt's Words

This is the first time in thirty years of being a pharmacist that I feel comfortable having a system help with our phones. I truly believe Elevaze has created a tool that will touch and benefit many industries over time.

Matt Lavin
Owner · Davis Pharmacy · 30 years a pharmacist
The Math · For You

Your numbers, calculated live.

Move the sliders. See what Davis's results would look like at your pharmacy.

150
$22
0
calls per month handled by AI
0
staff hours saved per week
The State of Independent Pharmacy

Two independent pharmacies close in America every single day.

Chains eat their margins. Staff shortages hollow them out. Medicare pricing cuts their legs. And the phone, the first tool they ever had, runs their lives.

4,400+
independent pharmacies closed since 2018
28M
Americans now live in pharmacy deserts
2x
higher closure rate in rural counties
Source · NCPA · HPSA · Journal of American Pharmacists Association

Davis found a way through. If the 19,000 other independents in America did the same, patients would get this instead:

1.4B
more patient calls answered every year. That's 76 calls every independent pharmacy in America has been missing. Every single day. For decades.

Davis showed them the way. Here's the playbook.

The Davis Standard

Five principles. Every independent can adopt them tomorrow.

What Davis proved works. A playbook the 19,000 other independents in America can run.

01
Never let the phone ring more than three times.
Matt's lifelong rule. The AI now answers in two. Even at 3 a.m.
02
Answer in seconds. Route in seconds.
Clinical calls to the pharmacist. Refills to the queue. Hours questions handled in real time.
03
Capture every call as structured data.
No more transcribing voicemails. Every call becomes a workable record.
04
Free staff for the patient in front of them.
The person at the counter gets the care they deserve. The phone takes care of itself.
05
Stay open for care, even when you're closed.
Weekends, nights, holidays, blizzards. Patients get care whenever they need it.
For the pharmacists reading this
Case Study · 002

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