Provider Demographics
NPI:1356076707
Name:LEE-CAREY, BRENDAN JOSEPH (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:BRENDAN
Middle Name:JOSEPH
Last Name:LEE-CAREY
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01850-1252
Mailing Address - Country:US
Mailing Address - Phone:978-453-0820
Mailing Address - Fax:978-441-3974
Practice Address - Street 1:1161 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01850-1252
Practice Address - Country:US
Practice Address - Phone:978-453-0820
Practice Address - Fax:978-441-3974
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist