Provider Demographics
NPI:1396847158
Name:LEE, TAMMIE W (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAMMIE
Middle Name:W
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:VA LOMA LINDA HEALTH CARE SYTEM # 119
Mailing Address - Street 2:11201 BENTON ST
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-0001
Mailing Address - Country:US
Mailing Address - Phone:909-825-7084
Mailing Address - Fax:909-777-3263
Practice Address - Street 1:VA LOMA LINDA HEALTH CARE SYTEM # 119
Practice Address - Street 2:11201 BENTON ST
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-0001
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:909-777-3263
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA467381835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric