Provider Demographics
NPI:1356636088
Name:LEE, RUTH-ANN MARIKO (PHARMD, CPP)
Entity Type:Individual
Prefix:DR
First Name:RUTH-ANN
Middle Name:MARIKO
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 CRENSHAW LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6327
Mailing Address - Country:US
Mailing Address - Phone:984-974-7914
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:UNC TRANSPLANT CLINIC
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-7914
Practice Address - Fax:984-974-0888
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC216881835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist