Organization
MICHAEL YOONG LEE
Active
Other names
Lees Niles Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE (OWNER)
(661) 327-9317
Entity
Organization
Contact information
Practice address
1405 NILES ST, BAKERSFIELD, CA 93305-4731
(661) 327-9317
(661) 327-8214
Mailing address
1405 NILES ST, BAKERSFIELD, CA 93305-4731
(661) 327-9317
(661) 327-8214
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY36929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996498
PK
—
05
—
PHA369290
—
CA
Enumeration date
08/10/2006
Last updated
11/29/2016
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