=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134664360
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEE LEE ZHU PHARM.D., RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/25/2016
-----------------------------------------------------
Last Update Date | 05/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 KAISER PLZ
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94612-3610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-271-5910
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2167 SHAW AVE, SUITE 115 PMB 60
-----------------------------------------------------
City | CLOVIS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-326-4509
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 76100
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------