Individual
MARY M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
220 S SENECA RD, EUGENE, OR 97402-2725
(541) 344-0681
(541) 345-0264
Mailing address
5391 VITAE SPRINGS RD S, SALEM, OR 97306-9707
(503) 910-0544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7116
OR
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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