Provider Demographics
NPI:1467901850
Name:LEWIS, DARCY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 LITTLE BEAR CREEK PT
Mailing Address - Street 2:UNIT 201
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-6803
Mailing Address - Country:US
Mailing Address - Phone:719-313-6445
Mailing Address - Fax:
Practice Address - Street 1:1550 LITTLE BEAR CREEK PT
Practice Address - Street 2:UNIT 201
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-6803
Practice Address - Country:US
Practice Address - Phone:719-313-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0021409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist