Individual
CHI-CHUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13965 W CHINDEN BLVD STE 208, MERIDIAN, ID 83713-1486
(541) 602-8338
Mailing address
1804 S GRAYLING AVE, MERIDIAN, ID 83642-5865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I71020
ID
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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