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NPI Code Detail

MEDICARE: MS. JIYEUN LEE PHARMD

MEDICARE: MS. JIYEUN LEE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH00019477WA

General Provider Information

NPI Number : 1013990589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JIYEUN LEE PHARMD
Provider Business Mailing Address
First Line : 9600 15TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2820
Country : US
Telephone Number : 206-763-2728
Fax Number :
Provider Business Practice Location Address
First Line : 9600 15TH AVE SW
Second Line : SEATTLE
City : SEATTLE
State : WA
Zip : 98106-2820
Country : US
Telephone Number : 206-763-2728
Fax Number : 206-762-7630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 06/15/2008

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Directions to “ MS. JIYEUN LEE PHARMD” Practice Location

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