Provider Demographics
NPI:1508908013
Name:LEWIN, DOROTHY (RPH)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:LEWIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32199 STATE ROUTE 20
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-3774
Mailing Address - Country:US
Mailing Address - Phone:360-675-4511
Mailing Address - Fax:
Practice Address - Street 1:32199 STATE ROUTE 20
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-3774
Practice Address - Country:US
Practice Address - Phone:360-675-4511
Practice Address - Fax:360-240-9311
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2013-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00047684183500000X
GARPH016926183500000X
AL17300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist