MEDICARE: MRS. AUN S LEE RPH

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	RPH44698	CA

General Provider Information

NPI Number	:	1326350497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AUN S LEE RPH

Provider Business Mailing Address
First Line	:	3333 W 2ND ST APT 52-309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-6119
Country	:	US
Telephone Number	:	818-913-2342
Fax Number	:

Provider Business Practice Location Address
First Line	:	1841 N WESTERN AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-3403
Country	:	US
Telephone Number	:	323-461-6136
Fax Number	:

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

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	07/06/2010

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