Individual
JASON THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
3148 W 3500 S, WEST VALLEY CITY, UT 84119-3634
(801) 963-2389
Mailing address
650 S MAIN ST APT 7303, BOUNTIFUL, UT 84010-9301
(801) 419-1435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9523290-1701
UT
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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