Individual
DR. BREANNA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
6650 CORPORATE CENTER PKWY APT 911, JACKSONVILLE, FL 32216-8728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56966
FL
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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