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Individual

JILLENE ANN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH

Contact information

Practice address
947 POWELL AVE SW STE 100, RENTON, WA 98057-2975
(425) 203-0976
(425) 277-1566
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00018969
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PA00018969
WA

Other

Enumeration date
10/22/2008
Last updated
01/08/2025
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