Individual
MR. JOHN C LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 1ST ST S, ALPHA, IL 61413-0355
(309) 629-4506
(309) 629-2611
Mailing address
PO BOX 355, 211 1ST ST S, ALPHA, IL 61413-0355
(309) 629-4506
(309) 629-2611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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