Individual
JAMIE HEYRIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69831
CALIFORNIA PHARMACY LICENSE
CA
Enumeration date
02/26/2014
Last updated
02/26/2014
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