Organization
LEWIS ENTERPRISES, INC
Active
Other names
Alwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C LEWIS R. PH. (PRESISENT)
(309) 629-4506
Entity
Organization
Contact information
Practice address
211 SOUTH 1ST STREET, ALPHA, IL 61413-0355
(309) 629-4506
(309) 629-2611
Mailing address
PO BOX 355, ALPHA, IL 61413-0355
(309) 629-4506
(309) 629-2611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054011124
IL
Other
Enumeration date
12/11/2006
Last updated
05/16/2008
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