Individual
MR. TIMOTHY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6905 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-5034
(219) 845-5014
Mailing address
6905 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-5034
(219) 845-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019249A
IN
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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