MEDICARE: MS. YA LING ERIN LEE R.PH

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	38493	TX

General Provider Information

NPI Number	:	1598120883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YA LING ERIN LEE R.PH

Provider Business Mailing Address
First Line	:	4321 MULLIGAN AVE
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3480
Country	:	US
Telephone Number	:	214-641-4051
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 MATLOCK ROAD STE 150
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-3480
Country	:	US
Telephone Number	:	682-222-7830
Fax Number	:

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

Provider Enumeration Date	:	12/31/2015
Last Update Date	:	12/30/2020

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