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Individual

AMANDA NICOLE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 454-2618
Mailing address
7558 SHAFTESBURY AVE, SAINT LOUIS, MO 63130-2136

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019022829
MO

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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