Provider Demographics
NPI:1558880401
Name:LEW, DARREN JOSEPH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:JOSEPH
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 1:8429 E SARNOFF RIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-8592
Mailing Address - Country:US
Mailing Address - Phone:520-481-1986
Mailing Address - Fax:
Practice Address - Street 1:9050 E VALENCIA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-4900
Practice Address - Country:US
Practice Address - Phone:520-663-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist