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NPI Code Detail

MEDICARE: LEE THOMAS MEWS PHARMD

MEDICARE:   LEE THOMAS MEWS  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21513IA

General Provider Information

NPI Number : 1023391786
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE THOMAS MEWS PHARMD
Provider Business Mailing Address
First Line : 225 PRAIRIE VIEW DR APT 8206
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-7131
Country : US
Telephone Number : 515-720-1603
Fax Number :
Provider Business Practice Location Address
First Line : 225 PRAIRIE VIEW DR APT 8206
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266
Country : US
Telephone Number : 515-720-1603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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