Organization
MJRLLEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER LEWIS R.PH. (OWNER)
(740) 317-5133
Entity
Organization
Contact information
Practice address
116 MCLISTER AVE, MINGO JUNCTION, OH 43938-1259
(740) 535-8068
Mailing address
519 N RIVER AVE, TORONTO, OH 43964-1541
(740) 317-5133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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