# MJRLLEW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679038160
- **Authorized official:** ROGER LEWIS R.PH. (OWNER)
- **Authorized official phone:** (740) 317-5133

## Contact information

- **Practice address:** 116 MCLISTER AVE, MINGO JUNCTION, OH 43938-1259
- **Practice address phone:** (740) 535-8068
- **Mailing address:** 519 N RIVER AVE, TORONTO, OH 43964-1541
- **Mailing address phone:** (740) 317-5133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2019
- **Last updated:** 02/08/2019