Individual
MR. JERRY BRET LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4315 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3769
(719) 264-1400
(719) 264-1097
Mailing address
4315 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3769
(719) 264-1400
(719) 264-1097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11669
CO
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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