Provider Demographics
NPI:1407264724
Name:LEE, WEUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:WEUN
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 RHONDA RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:CA
Mailing Address - Zip Code:96007-9010
Mailing Address - Country:US
Mailing Address - Phone:530-378-1680
Mailing Address - Fax:530-378-2239
Practice Address - Street 1:5000 RHONDA RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:CA
Practice Address - Zip Code:96007-9010
Practice Address - Country:US
Practice Address - Phone:530-378-1680
Practice Address - Fax:530-378-2239
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist