Individual
JASON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 MARKET ST, PASCAGOULA, MS 39567-3036
(228) 202-8215
(228) 202-8230
Mailing address
3800 MARKET ST, PASCAGOULA, MS 39567-3036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-15116
MS
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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