Provider Demographics
NPI:1326191560
Name:LEE, STEVE S (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:S
Last Name:LEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 E MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-1748
Mailing Address - Country:US
Mailing Address - Phone:765-342-1801
Mailing Address - Fax:765-342-1701
Practice Address - Street 1:1299 E MORGAN ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1748
Practice Address - Country:US
Practice Address - Phone:765-342-1801
Practice Address - Fax:765-342-1701
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26015761A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist