Individual
DR. AUSTIN LIAO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1760 W 16TH ST, SAN BERNARDINO, CA 92411-1160
(626) 473-1246
Mailing address
1326 BENTLEY CT, WEST COVINA, CA 91791-4320
(626) 373-6817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79140
BOARD OF PHARMACY
CA
Enumeration date
03/08/2019
Last updated
03/08/2019
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