Individual
ANITA SHA-RON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
5510 HOWARD ST, SKOKIE, IL 60077-2620
(520) 383-7350
Mailing address
4004 TEXTILE RD, YPSILANTI, MI 48197-9017
(832) 236-7173
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038074
MI
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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