MEDICARE: DR. CYNETHA LEE 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
1	183500000X	Pharmacist	37873	TX

General Provider Information

NPI Number	:	1952622672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNETHA LEE LEE PHARM D

Provider Business Mailing Address
First Line	:	99 S ALMONDELL CIR
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77354-3373
Country	:	US
Telephone Number	:	832-521-3152
Fax Number	:

Provider Business Practice Location Address
First Line	:	6467 WOODLANDS PKWY
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77381-3616
Country	:	US
Telephone Number	:	281-292-6743
Fax Number	:

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

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	06/16/2010

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