Individual
DR. BRIAN RUSSELL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7995 HIGHWAY 90, SNEADS, FL 32460-2308
(850) 593-5288
(850) 593-6462
Mailing address
7296 HIGHWAY 90, GRAND RIDGE, FL 32442-4075
(850) 209-8800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44913
FL
Other
Enumeration date
06/10/2008
Last updated
09/12/2016
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