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General NPI Number Information
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NPI Number | 1760525240
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Entity Type | Organization
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Legal Business Name | LEES FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 11/19/2023
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Provider Practice Location Address
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Address Line | 1218 FAIRBURN RD SW STE 103
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City | ATLANTA
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State | GA
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Zip | 30331-2172
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Country | US
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Telephone | 404-696-8330
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Fax | 404-696-1759
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Provider Business Mailing Address
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Address Line | 1218 FAIRBURN RD SW STE 103
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City | ATLANTA
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State | GA
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Zip | 30331-2172
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Country | US
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Telephone | 404-696-8330
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Fax | 404-696-1759
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | DR. STEDMAN JERMAINE LEE
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Credential | PHARMD
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Telephone | 404-696-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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