Individual
MS. MI-SOOK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2300 ANDREW DR, SUPERIOR, CO 80027
(303) 525-1914
(303) 474-3251
Mailing address
2300 ANDREW DR, SUPERIOR, CO 80027-8296
(303) 525-1914
(303) 474-3251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15276
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15276
STATE LICENSE
CO
Enumeration date
10/18/2010
Last updated
10/18/2010
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