Individual
MR. LEWIS STEVENSON PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1070 N PEARL ST, BRIDGETON, NJ 08302-1215
(856) 455-7020
(856) 455-7150
Mailing address
10 VICKERS AVE, BRIDGETON, NJ 08302-1430
(856) 451-9025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01431100
NJ
Other
Enumeration date
06/20/2010
Last updated
06/20/2010
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