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NPI Code Detail

MEDICARE: TAMMY JI EUN LEE PHARMD

MEDICARE:   TAMMY JI EUN LEE  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist48926TX

General Provider Information

NPI Number : 1144112749
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY JI EUN LEE PHARMD
Provider Business Mailing Address
First Line : 7402 PANTHERPAW ST
Second Line :
City : AUSTIN
State : TX
Zip : 78757-7874
Country : US
Telephone Number : 512-587-9393
Fax Number :
Provider Business Practice Location Address
First Line : 7402 PANTHERPAW ST
Second Line :
City : AUSTIN
State : TX
Zip : 78757-7874
Country : US
Telephone Number : 512-587-9393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2025
Last Update Date : 07/17/2025

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Directions to “ TAMMY JI EUN LEE PHARMD” Practice Location

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