Individual
MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 975-2138
(660) 975-4333
Mailing address
710 SHAMROCK LN, WARRENSBURG, MO 64093-2488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14743
LA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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