Provider Demographics
NPI:1760522809
Name:LEE, ANGEL P (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:P
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8376 E LOFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-6510
Mailing Address - Country:US
Mailing Address - Phone:951-353-4070
Mailing Address - Fax:
Practice Address - Street 1:8376 E LOFTWOOD LN
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-6510
Practice Address - Country:US
Practice Address - Phone:951-353-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist