Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENSEN SHU LEE PHARM D (PHARMACIST)
(415) 728-7582
Entity
Organization
Contact information
Practice address
1200 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-5104
(415) 546-1731
Mailing address
1200 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-5104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
71082
CA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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