Organization
DEBBIE JO LEWIS
Active
Other names
LEONS MEDICAL CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE LEWIS (OWNER)
(405) 794-3565
Entity
Organization
Contact information
Practice address
322 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-3565
(405) 794-0112
Mailing address
322 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-3565
(405) 794-0112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7-4500
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233300A
—
OK
01
—
2072967
PK
—
Enumeration date
01/11/2007
Last updated
11/10/2021
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