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1316227804
TERRY LOUISE LEWIS
PORTAGE, IN
NPI
1316227804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26014508A)
Enumeration Date
2011-08-28
Last Update Date
2011-08-28
Business Address
-- TERRY LOUISE LEWIS RPh
6030 CENTRAL AVE
PORTAGE, IN 46368-3501
Phone number: 219-762-8030
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Mailing Address
-- TERRY LOUISE LEWIS RPh
616 BAYBERRY CT
VALPARAISO, IN 46385-8959
Phone number: 219-462-7962
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