MEDICARE: CHRISTOPHER LEE

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	75582	TX
2	183500000X	Pharmacist	072168	NY

General Provider Information

NPI Number	:	1457172579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LEE

Provider Business Mailing Address
First Line	:	8820 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7737
Country	:	US
Telephone Number	:	718-433-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	8820 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7737
Country	:	US
Telephone Number	:	718-433-9800
Fax Number	:

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

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	06/13/2026

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Directions to “ CHRISTOPHER LEE ” Practice Location

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