Provider Demographics
NPI:1265843577
Name:LEE, BRITTANY (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-1817
Mailing Address - Country:US
Mailing Address - Phone:631-728-2566
Mailing Address - Fax:631-723-2408
Practice Address - Street 1:50 E MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-1817
Practice Address - Country:US
Practice Address - Phone:631-728-2566
Practice Address - Fax:631-723-2408
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059099183500000X
CA70001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist