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NPI Code Detail

MEDICARE: DR. DEMAR LEWIS III PHARMD

MEDICARE:  DR. DEMAR  LEWIS III 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
1183500000XPharmacist37541CA
21835N1003XNutrition Support Pharmacist37541CA
31835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist37541CA

General Provider Information

NPI Number : 1942500921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEMAR LEWIS III PHARMD
Provider Business Mailing Address
First Line : 1024 S COLUMBINE ST
Second Line :
City : DENVER
State : CO
Zip : 80209-4729
Country : US
Telephone Number : 303-578-0499
Fax Number : 866-457-6729
Provider Business Practice Location Address
First Line : 1024 S COLUMBINE ST
Second Line :
City : DENVER
State : CO
Zip : 80209-4729
Country : US
Telephone Number : 303-578-0499
Fax Number : 866-457-6729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 10/25/2010

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Directions to “ DR. DEMAR LEWIS III PHARMD” Practice Location

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