Organization
SEROVAX
Active
Other names
Serovax
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE CAMERON LEWIS PHARMD (PRESIDENT/OWNER)
(503) 970-0803
Entity
Organization
Contact information
Practice address
5063 WINGFEATHER PL, CASTLE ROCK, CO 80108-8044
(503) 970-0803
Mailing address
5063 WINGFEATHER PL, CASTLE ROCK, CO 80108-8044
(503) 970-0803
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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