Provider Demographics
NPI:1508089558
Name:LEWINTER, ROBERT ALAN (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALAN
Last Name:LEWINTER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2318 PORT CARLISLE PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5421
Mailing Address - Country:US
Mailing Address - Phone:949-760-8500
Mailing Address - Fax:949-209-2016
Practice Address - Street 1:2150 S TOWNE CENTRE PL
Practice Address - Street 2:SUITE 210
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-6125
Practice Address - Country:US
Practice Address - Phone:714-939-8987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist