Individual
MRS. LEE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
7100 N ABBY ST, FRESNO, CA 93720-2920
(559) 437-3642
Mailing address
8399 N JACKSON AVE, FRESNO, CA 93720-2315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
54969
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
54969
CA
Other
Enumeration date
06/27/2011
Last updated
03/29/2017
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