Individual
LARRY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2012 WARDS RD, LYNCHBURG, VA 24502-5310
(434) 239-6641
(434) 239-3826
Mailing address
2012 WARDS RD, LYNCHBURG, VA 24502-5310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007579
VA
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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