| NPI | 1982615563 |
|---|---|
| Doing Business As | LEES NILES DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE Owner 661-327-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36929) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-11-29 |