Provider Demographics
NPI:1346526407
Name:AMARI, LEE NOEL (PHARM D)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:NOEL
Last Name:AMARI
Suffix:
Gender:M
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 1:19326 NATALINA CT
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-5911
Mailing Address - Country:US
Mailing Address - Phone:707-996-8838
Mailing Address - Fax:
Practice Address - Street 1:19326 NATALINA CT
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-5911
Practice Address - Country:US
Practice Address - Phone:707-996-8838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist