Individual
MELISSA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-6965
Mailing address
1629 VINTON AVENUE, MEMPHIS, TN 38104
(901) 240-4439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6954
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62113169
—
TN
Enumeration date
03/02/2011
Last updated
03/02/2011
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