LON WALLDA LEWIS

BRUNSWICK, GA
NPI1790844462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  rph010977)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
-- LON WALLDA LEWIS Rph
5711 ALTAMA AVE SUITE J
BRUNSWICK, GA 31525-2240
Phone number: 912-264-2622
Mailing Address
-- LON WALLDA LEWIS Rph
191 MERION
SAINT SIMONS ISLAND, GA 31522-2414
Phone number: 912-638-8585
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