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NPI Code Detail

MEDICARE: AIMEE ELISE LEWIS PHARM. D.

MEDICARE:   AIMEE ELISE LEWIS  PHARM. D.
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
1183500000XPharmacist33399TX

General Provider Information

NPI Number : 1376748715
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE ELISE LEWIS PHARM. D.
Provider Business Mailing Address
First Line : 14636 HARBOR WAY
Second Line :
City : FLINT
State : TX
Zip : 75762-9135
Country : US
Telephone Number : 903-894-3902
Fax Number :
Provider Business Practice Location Address
First Line : 14636 HARBOR WAY
Second Line :
City : FLINT
State : TX
Zip : 75762-9135
Country : US
Telephone Number : 903-894-3902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2007
Last Update Date : 06/06/2011

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