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NPI Code Detail

MEDICARE: SOVONG LEE MEY PHARM.D.

MEDICARE: SOVONG LEE MEY 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
1183500000XPharmacist40460TX

General Provider Information

NPI Number : 1245567635
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOVONG LEE MEY PHARM.D.
Provider Business Mailing Address
First Line : 2602 FORT WORTH AVE
Second Line :
City : DALLAS
State : TX
Zip : 75211-1746
Country : US
Telephone Number : 214-941-0926
Fax Number : 214-941-7933
Provider Business Practice Location Address
First Line : 2602 FORT WORTH AVE
Second Line :
City : DALLAS
State : TX
Zip : 75211-1746
Country : US
Telephone Number : 214-941-0926
Fax Number : 214-941-7933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2009
Last Update Date : 11/05/2009

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Directions to “ SOVONG LEE MEY PHARM.D.” Practice Location

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