Lewis, Autumn

Lewis, Autumn is an sole proprietor health care provider with primary practice located at 9925 Barnsbury Rd , Douglasville GA 30135-3176. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy. Suppliers / Pharmacy is her primary health care specialty. Lewis, Autumn can be contacted via phone (679) 778-5963.

Contact Information

Primary practice address
9925 Barnsbury Rd Douglasville GA 30135-3176
Phone: (679) 778-5963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 021290 Georgia
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1083202477
LBN Legal business name Lewis, Autumn
Credentials PHAMRD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2021
Last updated Jan 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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