Individual
DERRICK ANTHONY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6617 DIXIE HWY, FLORENCE, KY 41042-2164
(859) 342-7764
Mailing address
10045 ARMSTRONG ST, UNION, KY 41091-7439
(502) 758-0021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022479
KY
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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