Individual
LEWIS ROGER CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
121 N HALL RD, ALCOA, TN 37701-2647
(865) 977-0349
Mailing address
9814 GIVERNY CIR, KNOXVILLE, TN 37922-5885
(865) 966-2718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1765
TN
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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