Individual
MS. DAVITA D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2532 W PEORIA AVE, PHOENIX, AZ 85029-4709
(602) 561-9639
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(602) 561-9639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017696
AZ
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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