Individual
CHANG SOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
702 N AZUSA AVE, WEST COVINA, CA 91791-1010
(626) 967-0679
(626) 967-0439
Mailing address
18203 DUSK ST, ROWLAND HEIGHTS, CA 91748-4721
(626) 758-2242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59828
CA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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