Individual
MR. PAUL ROBERSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
202 GLEN TRL, BRANDON, MS 39047-6355
(601) 421-4597
(601) 919-0017
Mailing address
202 GLEN TRL, BRANDON, MS 39047-6355
(601) 421-4597
(601) 919-0017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08375
MS
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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