Provider Demographics
NPI:1619524519
Name:LEE, BRYAN CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:CHARLES
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 1:13819 WOODCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2458
Mailing Address - Country:US
Mailing Address - Phone:281-222-5297
Mailing Address - Fax:
Practice Address - Street 1:8275 EL RIO ST STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-4651
Practice Address - Country:US
Practice Address - Phone:832-981-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-25
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist