Provider Demographics
NPI:1891046025
Name:LEWIS, JULIE M (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:M
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BIG HILL AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2008
Mailing Address - Country:US
Mailing Address - Phone:606-723-5446
Mailing Address - Fax:606-723-9017
Practice Address - Street 1:110 BIG HILL AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2008
Practice Address - Country:US
Practice Address - Phone:606-723-5446
Practice Address - Fax:606-723-9017
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist