Individual
ROBERT KEITH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
219 E JOSEPHINE AVE, FREDERICK, OK 73542-2017
(580) 335-7575
(580) 335-7577
Mailing address
219 E JOSEPHINE AVE, FREDERICK, OK 73542-2017
(580) 335-7575
(580) 335-7577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11821
OK
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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