Individual
BRIANNA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4221 E MAIN ST, FARMINGTON, NM 87402-8637
(505) 325-1749
Mailing address
2308 E 12TH ST, FARMINGTON, NM 87401-7511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008007
NM
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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