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NPI Code Detail

MEDICARE: GIYAE LEE-THORNTON PHARM.D.

MEDICARE:   GIYAE  LEE-THORNTON  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
1183500000XPharmacist15128NV

General Provider Information

NPI Number : 1952867343
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIYAE LEE-THORNTON PHARM.D.
Provider Business Mailing Address
First Line : PO BOX 401480
Second Line :
City : LAS VEGAS
State : NV
Zip : 89140-1480
Country : US
Telephone Number : 702-802-9867
Fax Number :
Provider Business Practice Location Address
First Line : 3644 S FORT APACHE RD APT 2145
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-3419
Country : US
Telephone Number : 702-802-9867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 02/11/2019

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Directions to “ GIYAE LEE-THORNTON PHARM.D.” Practice Location

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