TERRY LOUISE LEWIS

PORTAGE, IN
NPI1316227804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26014508A)
Enumeration Date2011-08-28
Last Update Date2011-08-28
Business Address
-- TERRY LOUISE LEWIS RPh
6030 CENTRAL AVE
PORTAGE, IN 46368-3501
Phone number: 219-762-8030
Mailing Address
-- TERRY LOUISE LEWIS RPh
616 BAYBERRY CT
VALPARAISO, IN 46385-8959
Phone number: 219-462-7962