Individual
RICK D. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 W STATE ST, BOISE, ID 83714-7497
(208) 841-1160
(208) 336-6424
Mailing address
4038 W QUAIL RIDGE DR, BOISE, ID 83703-3850
(208) 343-2687
(208) 343-2687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3646
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3646
PHARMACY LICENSE
ID
Enumeration date
06/23/2011
Last updated
06/23/2011
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