Provider Demographics
NPI:1376861526
Name:OVERBAY, LEWIS SPEARMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:SPEARMAN
Last Name:OVERBAY
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 1:6 FOOT POINT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-0847
Mailing Address - Country:US
Mailing Address - Phone:803-256-7481
Mailing Address - Fax:
Practice Address - Street 1:2801 MILLWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1257
Practice Address - Country:US
Practice Address - Phone:803-256-7481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist