Bryan Lee
Pharmacist in Pomona, CA. Individual provider (NPI-1).
NPI number1003674789
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1003674789
- Entity type
- Individual (NPI-1)
- Name
- Bryan Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 88706 | CA | Yes |
Practice location
1902 Royalty Dr Ste 110Pomona, CA 91767-3036
Phone 909-620-8008
Mailing address
11260 Greycliff AveMontclair, CA 91763-6436
Phone 808-255-6053
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