Individual
JOSHUA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
250 S LAKE ST STE A, EAST JORDAN, MI 49727-9329
(231) 536-0901
Mailing address
4685 WOODCRAFT RD, OKEMOS, MI 48864-2035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413692
MI
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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