Organization
KYU YON LEE
Active
Organization
KYU YON LEE
Active
Other names
ALMOND AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KYU LEE (OWNER)
(559) 673-9222
Entity
Organization
Contact information
Practice address
510 E ALMOND AVE, MADERA, CA 93637-5611
(559) 673-9222
(559) 673-1911
Mailing address
510 E ALMOND AVE, MADERA, CA 93637-5611
(559) 673-9222
(559) 673-1911
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY416674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0527323
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
04/29/2010
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