| Doctor Name: | JILLENE ANN LEWIS |
| NPI Number: | 1023260932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.PH |
| License Number: | PA00018969 |
| Business Practice Address: | 403 E. Meeker Street #300 Kent, WA - 980305904 |
| Business Phone Number: | 2538043592 |
| Business Fax Number: | 4252771566 |
| Mailing Address: | 955 Powell Ave. Sw, Suite A RENTON |
| State: | WA |
| Postal Code: | 980579208 |
| Phone Number: | 4252771311 |
| Fax Number: | 4252771566 |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | PA00018969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |