MEDICARE: JAIME LEWIS

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	PH235564	MA

General Provider Information

NPI Number	:	1649671165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME LEWIS

Provider Business Mailing Address
First Line	:	73 HAMPDEN DR
Second Line	:	APT 1C
City	:	NORWOOD
State	:	MA
Zip	:	02062-5417
Country	:	US
Telephone Number	:	508-560-0390
Fax Number	:

Provider Business Practice Location Address
First Line	:	683 HIGH ST
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2501
Country	:	US
Telephone Number	:	781-329-4420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	09/16/2014

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Directions to “ JAIME LEWIS ” Practice Location

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