IndividualActive
Dyllan Lewis, REGISTERED PHARMACIS
NPI 1104500685 · Pharmacist · Ronceverte, WV
Provider details
- NPI number
- 1104500685
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- REGISTERED PHARMACIS
- Sex
- Male
- Sole proprietor
- No
- License
- RP0013727 (WV)
Mailing address
361 Workman Ln
Renick, WV 24966-7024
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.