Provider Demographics
NPI:1538395181
Name:LEWIS, CHRISTINA LEI (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEI
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 LAKE WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-5861
Mailing Address - Country:US
Mailing Address - Phone:919-856-1610
Mailing Address - Fax:919-839-7186
Practice Address - Street 1:2720 LAKE WHEELER RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-5861
Practice Address - Country:US
Practice Address - Phone:919-856-1610
Practice Address - Fax:919-839-7186
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist