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Individual

MR. DANIEL HARRISON LEWIS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3951 W ASHLEY CIR, CHARLESTON, SC 29414-9156
(843) 763-2006
Mailing address
4326 HOPE PLANTATION DR, JOHNS ISLAND, SC 29455-4102
(224) 828-8340

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-038721
IL
183500000X
Pharmacist
2009000321
MO
183500000X
Pharmacist
4833
TN
183500000X
Pharmacist
Primary
5533
SC
183500000X
Pharmacist
PD-10892
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051-038721
PHARMACIST LICENSE
IL
01
2009000321
PHARMACIST LICENSE
MO
01
4833
PHARMACIST LICENSE
TN
01
5533
PHARMACIST LICENSE
SC
01
PD-10892
PHARMACIST LICENSE
AR
Enumeration date
10/03/2018
Last updated
10/03/2018
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