Provider Demographics
NPI:1023391786
Name:MEWS, LEE THOMAS (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:THOMAS
Last Name:MEWS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PRAIRIE VIEW DR APT 8206
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7131
Mailing Address - Country:US
Mailing Address - Phone:515-720-1603
Mailing Address - Fax:
Practice Address - Street 1:225 PRAIRIE VIEW DR APT 8206
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-720-1603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist