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Individual

MR. BRUCE F LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1504 SPRING HILL AVE, MOBILE, AL 36604-3207
(251) 219-3948
Mailing address
1605 WOODRIDGE CT, MOBILE, AL 36695-2942
(251) 633-9740

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7728
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7728
PHARMACY LICENSE
AL
Enumeration date
07/13/2006
Last updated
07/08/2007
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