Jennifer Lew

NPI #1447546445 in Montclair, California

Provider Information

NPI Number: 1447546445
Entity Type: Individual
Name: Jennifer Lew
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 28, 2011
Last Updated: Jun 28, 2011

Practice Location

Address: 9052 CENTRAL AVE
Address 2: STORE #1423
City: Montclair
State: California
ZIP Code: 91763-1621
Phone: (909) 447-6785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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