Provider Demographics
NPI:1851427173
Name:LEE, DAVID DOONG (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:DOONG
Last Name:LEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1295 N MARTIN AVE
Mailing Address - Street 2:PO BOX 210202
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0202
Mailing Address - Country:US
Mailing Address - Phone:520-626-3179
Mailing Address - Fax:520-626-7355
Practice Address - Street 1:1295 N MARTIN AVE
Practice Address - Street 2:COLLEGE OF PHAMRACY
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0202
Practice Address - Country:US
Practice Address - Phone:520-626-3179
Practice Address - Fax:520-626-7355
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ67441835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy