Individual
NANCY M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, R.PH.
Contact information
Practice address
1420 RENAISSANCE BLVD., ALBUQUERQUE, NM 87111
(505) 342-7148
(505) 342-7166
Mailing address
1420 RENAISSANCE BLVD, ALBUQUERQUE, NM 87107-2942
(505) 342-7148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5123
NM
Other
Enumeration date
10/16/2012
Last updated
01/25/2013
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