MEDICARE: DR. LEWIS TODD MCWILLIAMS 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
1	183500000X	Pharmacist	PD14039	AR
2	183500000X	Pharmacist	2017026043	MO
3	183500000X	Pharmacist	T-15062	MS
4	183500000X	Pharmacist	36137	TN

General Provider Information

NPI Number	:	1083233738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEWIS TODD MCWILLIAMS PHARMD

Provider Business Mailing Address
First Line	:	6520 MEMPHIS ARLINGTON RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-2402
Country	:	US
Telephone Number	:	901-388-4331
Fax Number	:	901-388-4250

Provider Business Practice Location Address
First Line	:	6520 MEMPHIS ARLINGTON RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-2402
Country	:	US
Telephone Number	:	901-388-4331
Fax Number	:	901-388-4250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2020
Last Update Date	:	04/13/2020

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