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1639168396
ANTONY MOORE LEWIS
POWELL, WY
NPI
1639168396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 2656)
Enumeration Date
2005-10-17
Last Update Date
2007-07-08
Business Address
Mr. ANTONY MOORE LEWIS RPh
777 AVENUE H
POWELL, WY 82435-2260
Phone number: 307-754-1179
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Mailing Address
Mr. ANTONY MOORE LEWIS RPh
630 MOUNTAIN VIEW ST
POWELL, WY 82435-1722
Phone number: 307-754-2475
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