Healthcare Provider Details

I. General information

NPI: 1134664360
Provider Name (Legal Business Name): LEE LEE ZHU PHARM.D., RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/25/2016
Last Update Date: 05/27/2023
Certification Date: 05/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KAISER PLZ
OAKLAND CA
94612-3610
US

IV. Provider business mailing address

2167 SHAW AVE, SUITE 115 PMB 60
CLOVIS CA
93611
US

V. Phone/Fax

Practice location:
  • Phone: 510-271-5910
  • Fax:
Mailing address:
  • Phone: 415-326-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: