Individual
CARLY LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
301 MEADOW RUN RD, BEAR CREEK TOWNSHIP, PA 18702-9304
(570) 406-9701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP457773
PA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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