Provider Demographics
NPI:1497788814
Name:LEWIS, CLAIRE W (RPH)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:W
Last Name:LEWIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:A
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:336 ROMANY RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2404
Mailing Address - Country:US
Mailing Address - Phone:859-266-1454
Mailing Address - Fax:
Practice Address - Street 1:327 ROMANY RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2403
Practice Address - Country:US
Practice Address - Phone:859-554-2716
Practice Address - Fax:859-554-0513
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY010680OtherKY BOARD OF PHARMACY