Individual
JUSTIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3608 S LAFOUNTAIN ST, KOKOMO, IN 46902-3809
(765) 455-2191
Mailing address
1909 AZALEA DR, MUNSTER, IN 46321-3408
(219) 671-1301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027825A
IN
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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