Individual
DONALD GENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 W ROYALL BLVD, MALAKOFF, TX 75148-9499
(903) 489-1909
Mailing address
2001 MILL RUN RD, ATHENS, TX 75751-5623
(903) 952-2929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154374197
TEXAS
—
Enumeration date
05/15/2019
Last updated
05/15/2019
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