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Individual

KAREN DONETTA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
5864 FAIRBURN RD, DOUGLASVILLE, GA 30134-2301
(770) 949-9307
(770) 949-9633
Mailing address
2240 DEFOORS FERRY RD NW, ATLANTA, GA 30318-2324
(678) 429-8859

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
48225
CA
183500000X
Pharmacist
Primary
RPH021452
GA

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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