Individual
TODD ANTJAUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY RPH DPH
Contact information
Practice address
35 MAKINLEY LN, LUMBERTON, MS 39455-5691
(601) 740-0469
Mailing address
35 MAKINLEY LN, LUMBERTON, MS 39455-5691
(601) 740-0469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08515
MS
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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