Organization
LEE MEMORIAL HEALTH SYSTEM
Active
Other names
Lee Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
BEN SPENCE PHARMD (CHIEF FINANCIAL OFFICER)
(239) 343-6014
Entity
Organization
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5100
(239) 343-5275
Mailing address
636 DEL PRADO BLVD S, SUITE 4, MOB, CAPE CORAL, FL 33990-2668
(239) 424-3157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006247100
—
FL
01
—
2134765
PK
—
Enumeration date
04/20/2012
Last updated
04/16/2019
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