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1104209725
AUTUMN LEWIS
PIKEVILLE, KY
NPI
1104209725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 017865)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- AUTUMN LEWIS
254 CASSIDY BLVD
PIKEVILLE, KY 41501-1426
Phone number: 606-432-6180
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Mailing Address
-- AUTUMN LEWIS
206 BOWLES PARK DR # B5
PIKEVILLE, KY 41501-2043
Phone number: 859-707-8625
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