Individual
LEWIS JEFFREY ANILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2413 PENNSYLVANIA AVE, WEIRTON, WV 26062-3632
(304) 723-1818
Mailing address
343 LAURELWOOD PL, WEIRTON, WV 26062-5623
(304) 748-6024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4665
WV
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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