Individual
GRACE REBECCA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9010 MICHIGAN RD, INDIANAPOLIS, IN 46268-3184
(317) 532-1607
Mailing address
6115 N RURAL ST APT 6324, INDIANAPOLIS, IN 46220-0420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027661A
IN
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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