NPI 1114016359

Debbie Jo Lewis, DPH

Practitioner Pharmacist Moore, OK

Practice location

Address: 322 N Service Rd, Moore, OK 73160-4945
Phone: (405) 794-3565
Fax: (405) 794-0112

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11397 (OK)

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Registry record

NPI: 1114016359
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.