Individual
CHARLIE LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 JUNCTION RD, MADISON, WI 53717-2615
(608) 827-9483
Mailing address
5738 LONGFORD TER, FITCHBURG, WI 53711-5873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12629
WI
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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