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
1	183500000X	Pharmacist	21513	IA

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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