Provider Demographics
NPI:1396200606
Name:LEE, CHLOE JIHYE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:JIHYE
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8861 GREENBACK LN
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4058
Mailing Address - Country:US
Mailing Address - Phone:916-989-4001
Mailing Address - Fax:916-989-6715
Practice Address - Street 1:8861 GREENBACK LN
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4058
Practice Address - Country:US
Practice Address - Phone:916-989-4001
Practice Address - Fax:916-989-6715
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist