MEDICARE: MR. WON Y LEE R.PH.

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
1	183500000X	Pharmacist	0202009287	VA

General Provider Information

NPI Number	:	1184693863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WON Y LEE R.PH.

Provider Business Mailing Address
First Line	:	5513 WILSON BOULEVARD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-1119
Country	:	US
Telephone Number	:	703-525-0200
Fax Number	:	703-525-0502

Provider Business Practice Location Address
First Line	:	5513 WILSON BLVD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-1119
Country	:	US
Telephone Number	:	703-525-0200
Fax Number	:	703-525-0502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. WON Y LEE R.PH.” Practice Location

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