Individual
MR. MAYO HO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
420 W MCKINLEY AVE, MISHAWAKA, IN 46545-5522
(574) 259-7066
Mailing address
420 W MCKINLEY AVE, MISHAWAKA, IN 46545-5522
(574) 259-7066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03221030
OH
183500000X
Pharmacist
Primary
26024275A
IN
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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