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NPI Code Detail

MEDICARE: JUNGHEE LEE PHARM D

MEDICARE: JUNGHEE LEE PHARM D
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
1183500000XPharmacist14540-040WI

General Provider Information

NPI Number : 1790062909
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNGHEE LEE PHARM D
Provider Business Mailing Address
First Line : 6707 W HAMPTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-4833
Country : US
Telephone Number : 414-536-1179
Fax Number :
Provider Business Practice Location Address
First Line : 6707 W HAMPTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-4833
Country : US
Telephone Number : 414-536-1179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2011
Last Update Date : 11/16/2011

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Directions to “ JUNGHEE LEE PHARM D” Practice Location

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