Individual
JESSICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 W 119TH ST, OLATHE, KS 66061-9532
(512) 296-0490
Mailing address
18101 W 119TH ST, OLATHE, KS 66061-9532
(913) 393-4154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-109681
KS
Other
Enumeration date
10/20/2020
Last updated
11/13/2020
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