Individual
GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
2345 PEACHTREE RD NE, ATLANTA, GA 30305-4147
(404) 233-2101
Mailing address
240 E BELLE ISLE RD APT 627, ATLANTA, GA 30342-6101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028041
GA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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