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MR. VERNON THEODORE LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2200 BERGQUIST DR, BLDG 8410, SAN ANTONIO, TX 78236-9907
(210) 292-8418
(210) 292-7207
Mailing address
8 LISER GLN, SAN ANTONIO, TX 78257-1377
(210) 481-8442

Taxonomy

Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
24525
TX

Other

Enumeration date
12/27/2005
Last updated
09/03/2013
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