Individual
MR. DALE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6123
(314) 454-4374
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6123
(314) 454-4374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011032861
MO
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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