NPI 1568151355

Clarence S Lewis

Practitioner Pharmacy Technician Ann Arbor, MI

Practice location

Address: 2980 Packard St, Ann Arbor, MI 48108-1881
Phone: (734) 971-1013
Mailing address: 3330 Alpine Dr, Ann Arbor, MI 48108-1894

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 5303010850 (MI)

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Registry record

NPI: 1568151355
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2023
Record last updated: 5 May 2023

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.