Individual
BRADY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1001 TOWSON AVE STE 300, FORT SMITH, AR 72901-4921
(479) 441-5240
(479) 441-3723
Mailing address
PO BOX 2406, FORT SMITH, AR 72902-2406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2016024479
MO
183500000X
Pharmacist
Primary
PD13725
AR
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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