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Contact Information

PAM A LEWIS, RPH
350 SUNSET DR
GRENADA, MS38901-4613
 Phone: 662-417-8660
 Fax: 662-307-2750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PAM A LEWIS · (Female)

NPI Number 1649865635
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 03/02/2021
Last updated 03/02/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # E06013
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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