Provider Demographics
NPI:1588973879
Name:LEWIS, RENEE S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:S
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 1:10870 W SAMPLE RD APT 4205
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2693
Mailing Address - Country:US
Mailing Address - Phone:954-592-8223
Mailing Address - Fax:
Practice Address - Street 1:10870 W SAMPLE RD APT 4205
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2693
Practice Address - Country:US
Practice Address - Phone:954-939-1526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41059183500000X
FLPU6780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist