Individual
DYLLAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED PHARMACIS
Contact information
Practice address
PO BOX 13, RONCEVERTE, WV 24970-0013
(304) 667-3645
Mailing address
361 WORKMAN LN, RENICK, WV 24966-7024
(304) 667-3645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013727
WV
Other
Enumeration date
06/14/2023
Last updated
05/11/2026
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