Individual
DARRYL DEVON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1150 REVOLUTION MILL DR, GREENSBORO, NC 27405-5085
(336) 285-7985
Mailing address
639 S PIERCE ST APT H, EDEN, NC 27288-5875
(252) 469-6529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202218236
VA
183500000X
Pharmacist
Primary
29186
NC
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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