John C Lewis Valid NPI
Individual provider · Pharmacist · Alpha, IL
- NPI
- 1184759821
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-22
- Last updated
- 2007-07-08
Practice location
211 1st St S
Alpha, IL 61413-0355
(309) 629-4506