Provider Demographics
NPI:1437308780
Name:LEW, DARREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:
Last Name:LEW
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 1:300 W SHAW AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-3680
Mailing Address - Country:US
Mailing Address - Phone:559-297-0251
Mailing Address - Fax:559-297-4251
Practice Address - Street 1:300 W SHAW AVE STE 114
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3680
Practice Address - Country:US
Practice Address - Phone:559-297-0251
Practice Address - Fax:559-297-4251
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH49634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist