Individual
DR. ANGELENE RENEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1510 E RIDGE RD, RICHMOND, VA 23229-5740
(804) 288-4936
(804) 288-2874
Mailing address
1510 E RIDGE RD, RICHMOND, VA 23229-5740
(804) 288-4936
(804) 288-2874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01011603
—
VA
Enumeration date
11/30/2010
Last updated
11/30/2010
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