Organization
LEE AND COMPANY
Active
Other names
LEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN LEE PHARM.D. (PRESIDENT)
(479) 782-8689
Entity
Organization
Contact information
Practice address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 782-8689
(479) 785-3613
Mailing address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 782-8689
(479) 785-3613
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
AR20329
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1988039
PK
—
Enumeration date
12/28/2006
Last updated
07/02/2014
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