Provider Demographics
NPI:1699218479
Name:LEE, TZUO ZEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:TZUO ZEN
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4113 WIMBLEDON DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1038
Mailing Address - Country:US
Mailing Address - Phone:717-979-4432
Mailing Address - Fax:
Practice Address - Street 1:4113 WIMBLEDON DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1038
Practice Address - Country:US
Practice Address - Phone:717-979-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040198L183500000X
FLPS41052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist