MEDICARE: DR. JANNY PUI-SZE LEE PHARM.D.

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
1	183500000X	Pharmacist	RPH49312	CA

General Provider Information

NPI Number	:	1194810002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANNY PUI-SZE LEE PHARM.D.

Provider Business Mailing Address
First Line	:	3555 WHIPPLE RD BLDG C
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-1507
Country	:	US
Telephone Number	:	510-675-4566
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 SERENO DR
Second Line	:	BAYVIEW SOUTH BUILDING
City	:	VALLEJO
State	:	CA
Zip	:	94589-2441
Country	:	US
Telephone Number	:	707-651-4175
Fax Number	:	707-651-4445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/22/2021

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