Individual
ERIC JEFFERY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
22277 W 12 MILE RD, APT 29, SOUTHFIELD, MI 48034-4621
(248) 747-0669
Mailing address
22277 W 12 MILE RD, APT 29, SOUTHFIELD, MI 48034-4621
(248) 747-0669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411167
MI
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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