Individual
BETTY ROSE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
4036 CAMINO CALMA, SAN DIEGO, CA 92122-2007
(520) 762-4944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023476
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S023476
PHARMACIST LICENSE
AZ
Enumeration date
08/17/2018
Last updated
08/17/2018
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