Individual
BRIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., M.S.
Contact information
Practice address
7241 BOULDER AVE, HIGHLAND, CA 92346
(909) 425-1298
Mailing address
PO BOX 8911, ALTA LOMA, CA 91701-0911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57057
CA
Other
Enumeration date
04/08/2015
Last updated
12/09/2018
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