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Individual
DR. KATELYN PATRICIA LEWIS
Active
Individual
DR. KATELYN PATRICIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI3957300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03957300
PHARMACIST
NJ
01
—
28RJ07810
IMMUNIZATION APPROVAL
NJ
Enumeration date
09/14/2018
Last updated
09/14/2018
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