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NPI Code Detail

MEDICARE: DR. WILHELMINA LEE PHARM.D.

MEDICARE: DR. WILHELMINA LEE PHARM.D.
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
11835P1300XPsychiatric PharmacistRPH 48989CA

General Provider Information

NPI Number : 1225192842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILHELMINA LEE PHARM.D.
Provider Business Mailing Address
First Line : 2275 HUNTINGTON DR
Second Line : # 803
City : SAN MARINO
State : CA
Zip : 91108-2640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 765 W COLLEGE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-1181
Country : US
Telephone Number : 213-580-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 07/08/2007

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