Individual
MR. JASON RIKI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 N MAIN ST, PAYSON, UT 84651-3426
(801) 465-0363
Mailing address
969 W 1730 S, VERNAL, UT 84078
(801) 367-3959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR00060819
WA
Other
Enumeration date
05/21/2007
Last updated
07/21/2022
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