Individual
ROBERT W LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
54 GREGORY DR, CONWAY, AR 72032-9052
(501) 764-0530
Mailing address
54 GREGORY DR, CONWAY, AR 72032-9052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05607
AR
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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