Individual
ETHEL MAE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
1090 COLUMBIA AVE APT 104, MARYSVILLE, WA 98270-4315
(425) 605-0497
Mailing address
1090 COLUMBIA AVE APT 104, MARYSVILLE, WA 98270-4315
(425) 605-0497
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00057456
WA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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