Pam Anne Lewis, RPH Valid NPI
Individual provider · Clinic Pharmacy · Grenada, MS
- NPI
- 1649865635
- Type
- Individual (Type 1)
- Primary specialty
- Clinic Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0002X
- License number
- E06013 (MS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
Practice location
350 Sunset Dr
Grenada, MS 38901-4613
(662) 417-8660