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1669950317
AUSTIN LEE
BRIDGETON, MO
NPI
1669950317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2018028033)
Enumeration Date
2018-08-04
Last Update Date
2018-08-04
Business Address
Dr. AUSTIN LEE PharmD
12921 ENTERPRISE WAY
BRIDGETON, MO 63044-1206
Phone number: 314-344-9604
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Mailing Address
Dr. AUSTIN LEE PharmD
112 HOMESTEAD CT
EDWARDSVILLE, IL 62025-5544
Phone number: 636-209-0966
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