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1770234528
DERRICK ANTHONY LEWIS
FLORENCE, KY
NPI
1770234528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 022479)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
DERRICK ANTHONY LEWIS
6617 DIXIE HWY
FLORENCE, KY 41042-2164
Phone number: 859-342-7764
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Mailing Address
DERRICK ANTHONY LEWIS
10045 ARMSTRONG ST
UNION, KY 41091-7439
Phone number: 502-758-0021
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