Individual
DR. RUSSEL ANTON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11350 WICKERSHAM BLVD, GRETNA, NE 68028-6979
(402) 881-3687
(402) 881-3533
Mailing address
11350 WICKERSHAM BLVD, GRETNA, NE 68028-6979
(402) 881-3687
(402) 881-3533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11751
NE
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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