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NPI Code Detail

MEDICARE: EUNICE YOUNG LEE PHARMD

MEDICARE: EUNICE YOUNG 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
1183500000XPharmacist17635NV

General Provider Information

NPI Number : 1245524602
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUNICE YOUNG LEE PHARMD
Provider Business Mailing Address
First Line : 7109 PIPERS RUN PL
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3157
Country : US
Telephone Number : 702-580-3214
Fax Number : 702-933-2315
Provider Business Practice Location Address
First Line : 8750 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5452
Country : US
Telephone Number : 702-933-2315
Fax Number : 702-933-2315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2011
Last Update Date : 06/02/2011

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Directions to “ EUNICE YOUNG LEE PHARMD” Practice Location

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