Individual
MR. EVERETT LEE LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
111A N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 922-3001
(704) 922-0060
Mailing address
111A N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 922-3001
(704) 922-0060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6586
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6586
PHARMACIST LICENSE NUMBER
NC
Enumeration date
04/12/2007
Last updated
07/08/2007
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