Organization
DANIEL LEE
Active
Other names
FED RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE PHARMD (OWNER AND PHARMACIST)
(619) 284-8877
Entity
Organization
Contact information
Practice address
4002 30TH ST, SAN DIEGO, CA 92104-2602
(619) 284-8877
(619) 284-8893
Mailing address
4002 30TH ST, SAN DIEGO, CA 92104-2602
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0503121
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHY393390
—
CA
Enumeration date
03/08/2007
Last updated
05/18/2009
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