Individual
CHRISTOPHER RANDAL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, MBA
Contact information
Practice address
35 STATELINE RD W, SOUTHAVEN, MS 38671-1705
(662) 342-2906
Mailing address
35 STATELINE RD W, SOUTHAVEN, MS 38671-1705
(901) 409-1436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P13065
MS
Other
Enumeration date
06/25/2013
Last updated
08/16/2014
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