Individual
MRS. CHANTALE MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., RPH.
Contact information
Practice address
151 SW 184 AVENUE, PEMBROKE PINES, FL 33029
(954) 442-1359
Mailing address
151 SW 184 AVENUE, PEMBROKE PINES, FL 33029
(954) 442-1359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41462
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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