Individual
CHENG-HSIEN JIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
635 S MELROSE DR, VISTA, CA 92081-6622
(760) 643-3904
Mailing address
17557 MONTERO RD, SAN DIEGO, CA 92128-2345
(858) 605-8838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76549
CA
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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