Healthcare Provider Details

I. General information

NPI: 1508910407
Provider Name (Legal Business Name): LEWIS J SCHWARTZ RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W MAPLE
FARMINGTON NM
87401
US

IV. Provider business mailing address

#23 CR 3522
FLORA VISTA NM
87415
US

V. Phone/Fax

Practice location:
  • Phone: 505-599-2404
  • Fax: 505-599-2414
Mailing address:
  • Phone: 505-334-7215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number5128
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: