Individual
JUSTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3031 MID RIVERS MALL DR, SAINT PETERS, MO 63376-3426
(636) 697-1051
Mailing address
3031 MID RIVERS MALL DR, SAINT PETERS, MO 63376-3426
(636) 697-1051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2020043219
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
021314
KY
Other
Enumeration date
10/22/2020
Last updated
11/14/2023
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