Healthcare Provider Details

I. General information

NPI: 1235085689
Provider Name (Legal Business Name): ZARIAH IMAN LEWIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HIGHWAY 12
VALLEY SPRINGS CA
95252-8108
US

IV. Provider business mailing address

8969 PANAMINT CT
ELK GROVE CA
95624-3716
US

V. Phone/Fax

Practice location:
  • Phone: 209-772-9681
  • Fax:
Mailing address:
  • Phone: 916-838-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number89662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: