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NPI Code Detail

MEDICARE: MRS. MELANIE C LEE RPH

MEDICARE:  MRS. MELANIE C 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
1183500000XPharmacistIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780757914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE C LEE RPH
Provider Business Mailing Address
First Line : 3757 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-5712
Country : US
Telephone Number : 773-539-1234
Fax Number : 773-539-1122
Provider Business Practice Location Address
First Line : 3757 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-5712
Country : US
Telephone Number : 773-539-1234
Fax Number : 773-539-1122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MELANIE C LEE RPH” Practice Location

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