Individual
BRYAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 ROYALTY DR STE 110, POMONA, CA 91767-3036
(909) 620-8008
Mailing address
11260 GREYCLIFF AVE, MONTCLAIR, CA 91763-6436
(808) 255-6053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88706
CA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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