Individual
COREY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
32765 EILAND BLVD, ZEPHYRHILLS, FL 33545-5268
(813) 779-2510
Mailing address
30105 MOSSBANK DR, WESLEY CHAPEL, FL 33543-3957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59496
FL
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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