Individual
CHIA RU LISA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-7169
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61671
CA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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