Individual
TIMOTHY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
201 WALDON DR, HARLAN, KY 40831-2535
(606) 573-9650
(606) 573-7101
Mailing address
201 WALDON DR, HARLAN, KY 40831-2535
(606) 573-9650
(606) 573-7101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015015
KY
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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