Individual
DR. ANISSA GISELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2139 34TH ST N, ST PETERSBURG, FL 33713-3609
(727) 323-2900
Mailing address
2139 34TH ST N, ST PETERSBURG, FL 33713-3609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60058
FL
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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