Individual
DR. AUSTIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12921 ENTERPRISE WAY, BRIDGETON, MO 63044-1206
(314) 344-9604
Mailing address
112 HOMESTEAD CT, EDWARDSVILLE, IL 62025-5544
(636) 209-0966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018028033
MO
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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