Individual
AUTUMN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 CASSIDY BLVD, PIKEVILLE, KY 41501-1426
(606) 432-6180
Mailing address
206 BOWLES PARK DR # B5, PIKEVILLE, KY 41501-2043
(859) 707-8625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017865
KY
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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