Individual
TRACY ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 E FAIRVIEW AVE, MERIDIAN, ID 83642-1732
(208) 888-4414
Mailing address
PO BOX 847, HERMISTON, OR 97838-0847
(541) 564-1285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012393
OR
Other
Enumeration date
11/01/2010
Last updated
03/18/2024
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