Provider Demographics
NPI:1316068877
Name:LEWIS, KATHERINE TERESE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:TERESE
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 1:6217 SHARONDALE DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3040
Mailing Address - Country:US
Mailing Address - Phone:440-465-4796
Mailing Address - Fax:
Practice Address - Street 1:10123 ALLIANCE RD STE 240
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4887
Practice Address - Country:US
Practice Address - Phone:330-523-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-26711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist