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NPI Code Detail

MEDICARE: DR. JESSICA LYNN LEWIS PHARM.D.

MEDICARE:  DR. JESSICA LYNN 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
1183500000XPharmacist050613NY

General Provider Information

NPI Number : 1518145390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA LYNN LEWIS PHARM.D.
Provider Business Mailing Address
First Line : 40 WALL ST
Second Line :
City : NEW YORK
State : NY
Zip : 10005-1304
Country : US
Telephone Number : 212-742-8454
Fax Number :
Provider Business Practice Location Address
First Line : 40 WALL ST
Second Line :
City : NEW YORK
State : NY
Zip : 10005-1304
Country : US
Telephone Number : 212-742-8454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2008
Last Update Date : 10/07/2016

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Directions to “ DR. JESSICA LYNN LEWIS PHARM.D.” Practice Location

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