Provider Demographics
NPI:1215236252
Name:LEW, HARRY (RPH)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:
Last Name:LEW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 METRO CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-2177
Mailing Address - Country:US
Mailing Address - Phone:650-286-0759
Mailing Address - Fax:650-918-2059
Practice Address - Street 1:1001 METRO CENTER BLVD
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-2177
Practice Address - Country:US
Practice Address - Phone:650-286-0759
Practice Address - Fax:650-918-2059
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320321835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist