Healthcare Provider Details

I. General information

NPI: 1326965716
Provider Name (Legal Business Name): ANASTASSIA LEE PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 ANN ARBOR SALINE RD
ANN ARBOR MI
48103-9711
US

IV. Provider business mailing address

9217 COUNTRY VIEW DR
YPSILANTI MI
48197-6651
US

V. Phone/Fax

Practice location:
  • Phone: 734-997-3910
  • Fax:
Mailing address:
  • Phone: 734-997-3910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418481
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: