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Individual

BRAINARD LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
5467 WILSHIRE BLVD, LOS ANGELES, CA 90036-4219
(323) 525-0646
(323) 525-1036
Mailing address
5467 WILSHIRE BLVD, LOS ANGELES, CA 90036-4219
(323) 525-0646
(323) 525-1036

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52972
CA

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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