MEDICARE: MS. AEYON 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	1835X0200X	Oncology Pharmacist	39723	CA

General Provider Information

NPI Number	:	1942373451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AEYON LEE RPH

Provider Business Mailing Address
First Line	:	3350 CALICO COURT
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826
Country	:	US
Telephone Number	:	916-276-1834
Fax Number	:

Provider Business Practice Location Address
First Line	:	3350 CALICO CT
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-4603
Country	:	US
Telephone Number	:	916-276-1834
Fax Number	:

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	05/02/2013

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