Individual
GINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 SW 20TH ST, PENDLETON, OR 97801-1864
(541) 278-4285
Mailing address
201 SW 20TH ST, PENDLETON, OR 97801-1864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017656
OR
Other
Enumeration date
12/05/2019
Last updated
12/09/2019
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