NPI | 1730245614 |
---|---|
Doing Business As | LEE PHARMACY |
Entity Type | Organization |
Authorized Contact | WARREN LEE President 479-782-8689 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: AR AR20329) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy | |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-12-28 |
Last Update Date | 2014-07-02 |