Individual
MOLLY MIX LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2466 ST GEORGE RD, CVS, WILLISTON, VT 05495-7432
(802) 872-8840
(802) 872-8841
Mailing address
2466 ST GEORGE RD, CVS, WILLISTON, VT 05495-7432
(802) 872-8840
(802) 872-8841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0330052936
VT
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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