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NPI Code Detail

MEDICARE: MR. RICHARD C. LEE RPH

MEDICARE: MR. RICHARD 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
1183500000XPharmacist7861WA

General Provider Information

NPI Number : 1952301483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD C. LEE RPH
Provider Business Mailing Address
First Line : 760 ARDEN BUTTE RD
Second Line :
City : COLVILLE
State : WA
Zip : 99114-9747
Country : US
Telephone Number : 509-685-0420
Fax Number :
Provider Business Practice Location Address
First Line : 1200 E COLUMBIA AVE
Second Line :
City : COLVILLE
State : WA
Zip : 99114-3354
Country : US
Telephone Number : 509-684-7727
Fax Number : 509-684-7711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 07/08/2007

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Directions to “ MR. RICHARD C. LEE RPH” Practice Location

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