Individual
DEREK DONGSUK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
705 E MCDOWELL RD, PHARMACY, PHOENIX, AZ 85006-2519
(602) 258-4865
Mailing address
7716 S TERRACE RD, TEMPE, AZ 85284-1559
(617) 894-9984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023350
AZ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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