Individual
MAI TONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E JOHNSON AVE, COOS BAY, OR 97420-1478
(541) 267-1710
Mailing address
PO BOX 593, NORTH BEND, OR 97459-0048
(651) 447-9856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0013789
OR
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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