Healthcare Provider Details

I. General information

NPI: 1114439973
Provider Name (Legal Business Name): HEATHER LEE PHARM.D., RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2017
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9449 IMPERIAL HWY STE C122
DOWNEY CA
90242-2888
US

IV. Provider business mailing address

9449 IMPERIAL HWY STE C122
DOWNEY CA
90242-2888
US

V. Phone/Fax

Practice location:
  • Phone: 800-776-1318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77653
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: