Organization
BRUCE AND LEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LY LIM (OWNER / CEO)
(209) 952-9189
Entity
Organization
Contact information
Practice address
73 W MARCH LANE STE D, STOCKTON, CA 95207-5726
(209) 957-2295
(209) 957-2325
Mailing address
73 W MARCH LANE STE D, STOCKTON, CA 95207-5726
(209) 957-2295
(209) 957-2325
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168291
PK
—
Enumeration date
02/13/2017
Last updated
03/20/2018
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