MEDICARE: ANNE 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	8284	SC

General Provider Information

NPI Number	:	1336411719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE LEE RPH

Provider Business Mailing Address
First Line	:	2650 DANIELS POINTE BLVD
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29466-6734
Country	:	US
Telephone Number	:	843-442-0131
Fax Number	:

Provider Business Practice Location Address
First Line	:	2777 SPEISSEGGER DR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-8229
Country	:	US
Telephone Number	:	843-745-5183
Fax Number	:	843-745-5132

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

Provider Enumeration Date	:	02/01/2012
Last Update Date	:	02/01/2012

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Directions to “ ANNE LEE RPH” Practice Location

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