Mark Lewis
NPI #1669890893 in East Moline, Illinois
Provider Information
- NPI Number
- 1669890893
- Entity Type
- Individual
- Name
- Mark Lewis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 4, 2014
- Last Updated
- Apr 4, 2014
Practice Location
- Address
- 2601 9TH 1/2 ST
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244-3228
- Phone
- (309) 755-5714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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