# MEDPILOT PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144574260
- **Authorized official:** DR. JACKY LUNG HING LEE PHARMD, MBA (FOUNDER & CEO)
- **Authorized official phone:** (858) 229-9282

## Contact information

- **Practice address:** 9323 CHESAPEAKE DR, SUITE \#C1, SAN DIEGO, CA 92123-1044
- **Practice address phone:** (858) 278-7500
- **Practice address fax:** (858) 278-7501
- **Mailing address:** 11790 PAPAGALLO CT, SAN DIEGO, CA 92124-2802
- **Mailing address phone:** (858) 229-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 51917 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | 51917 | CA | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 06/13/2014
