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Myung Il Lee

Pharmacist in Oakland, CA. Individual provider (NPI-1).

NPI number1124397666
StatusActive
Last updated in NPPESDec 28, 2011

Details

NPI
1124397666
Entity type
Individual (NPI-1)
Name
Myung Il Lee
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2011
Last updated
Dec 28, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistca60701CAYes

Practice location

1333 Broadway
Oakland, CA 94612-1917

Phone 510-832-2694

Mailing address

1333 Broadway
Oakland, CA 94612-1917

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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