Individual
JUSTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4243 WILL ROGERS PKWY, OKLAHOMA CITY, OK 73108-2039
(405) 546-3900
Mailing address
9305 NW 94TH CIR, YUKON, OK 73099-8838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15031
OK
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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