Individual
TOMMY H LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4367
(208) 529-5300
(209) 529-0940
Mailing address
400 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4367
(208) 529-5300
(209) 529-0940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH4207
ID
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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