Individual
PAM ANNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
350 SUNSET DR, GRENADA, MS 38901-4613
(662) 417-8660
(662) 307-2750
Mailing address
131 COUNTY ROAD 327, BIG CREEK, MS 38914-2622
(662) 645-2331
(662) 628-4590
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
E06013
MS
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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