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Individual

DR. JAYDEN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
919 W RIO ALTAR, GREEN VALLEY, AZ 85614-4036
(818) 398-8121
Mailing address
919 W RIO ALTAR, GREEN VALLEY, AZ 85614-4036
(818) 398-8121

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0012000
CT
1835P2201X
Ambulatory Care Pharmacist
RPH029713
GA
1835P2201X
Ambulatory Care Pharmacist
Primary
S025192
AZ

Other

Enumeration date
03/05/2015
Last updated
02/09/2024
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