Individual
MR. MARK A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 293-9437
Mailing address
100 4TH ST N, FARGO, ND 58102
(701) 293-9437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3916
ND
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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