Individual
LEE PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6325 S GILMORE RD, FAIRFIELD, OH 45014-5159
(513) 881-0110
Mailing address
10261 FALLING WATERS LN, CINCINNATI, OH 45241-3843
(513) 307-4757
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03322129
OH
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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