Individual
BENJAMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10623 GIBSONTON DR, RIVERVIEW, FL 33578-5404
(813) 677-4435
Mailing address
3201 STAGECOACH TRL, WIMAUMA, FL 33598-7526
(313) 580-2547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40938
FL
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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