Provider Demographics
NPI:1992705479
Name:LEWIS, RITA DELENE (RPH)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:DELENE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:RPH
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Mailing Address - Street 1:11 S LYNNHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2260
Mailing Address - Country:US
Mailing Address - Phone:540-332-8041
Mailing Address - Fax:540-332-8044
Practice Address - Street 1:1301 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-9146
Practice Address - Country:US
Practice Address - Phone:540-332-8041
Practice Address - Fax:540-332-8044
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA93331835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric