Most Relevant Information
Provider Data
| NPI Number: | 1003207408 |
| Provider Name: | JOVON LEWIS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | EXPECTED 2015 |
Most Important Dates
| Enumeration Date: | 02/07/2015 |
| Last Updated: | 02/07/2015 |
Provider Practice Location
3559 BOSTON ST
BALTIMORE
MD
212245750
Practice Location Phone/Fax
| Phone: | 4102468516 |
| Fax: | 4102468526 |
Provider Mailing Location
601 BRUNE ST
BALTIMORE
MD
212011401
Provider Mailing Phone/Fax
| Phone: | 4439047035 |
| Fax: |