Provider Demographics
NPI:1841383981
Name:LEWIS, STEPHEN J (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:LEWIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1633 DRAYTON DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1480
Mailing Address - Country:US
Mailing Address - Phone:615-225-8344
Mailing Address - Fax:
Practice Address - Street 1:5171 SAM JARED DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-1382
Practice Address - Country:US
Practice Address - Phone:615-867-6299
Practice Address - Fax:615-867-5049
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037437-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist