Individual
JOSHUA TYLER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3253 FRANKLIN ST, MICHIGAN CITY, IN 46360-7005
(219) 872-5854
Mailing address
3030 RAMBLEWOOD ST, PORTAGE, IN 46368-7220
(219) 921-9954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028967A
IN
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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