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Dr. Austin Lee, PharmD

Pharmacist in Bridgeton, MO. Individual provider (NPI-1).

NPI number1669950317
StatusActive
Last updated in NPPESAug 4, 2018

Details

NPI
1669950317
Entity type
Individual (NPI-1)
Name
Dr. Austin Lee
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2018
Last updated
Aug 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist2018028033MOYes

Practice location

12921 Enterprise Way
Bridgeton, MO 63044-1206

Phone 314-344-9604

Mailing address

112 Homestead Ct
Edwardsville, IL 62025-5544

Phone 636-209-0966

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