Individual
CRAIG LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 E 9TH ST, TRENTON, MO 64683-2645
(660) 359-5700
Mailing address
1903 E 9TH ST, TRENTON, MO 64683-2645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023031489
MO
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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