Provider Demographics
NPI:1750440509
Name:LEWIS, NORMAN COLON (RPH)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:COLON
Last Name:LEWIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1800
Mailing Address - Country:US
Mailing Address - Phone:252-560-5205
Mailing Address - Fax:252-747-1029
Practice Address - Street 1:104 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1336
Practice Address - Country:US
Practice Address - Phone:252-747-3885
Practice Address - Fax:252-747-1029
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist