Individual
KIMBERLY JAUNG LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2330 CHANDLER RD, MUSKOGEE, OK 74403-4627
(918) 681-4910
(918) 681-4915
Mailing address
2330 CHANDLER RD, MUSKOGEE, OK 74403-4627
(918) 681-4910
(918) 681-4915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17013
OK
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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