Provider Demographics
NPI:1891306007
Name:LEE, EUNICE (PHARMD)
Entity Type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EUNICE
Other - Middle Name:MINYOUNG
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3003 QUEENSGATE DR APT 276
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4526
Mailing Address - Country:US
Mailing Address - Phone:512-364-7541
Mailing Address - Fax:
Practice Address - Street 1:1106 N COLUMBIA CENTER BLVD
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1161
Practice Address - Country:US
Practice Address - Phone:509-737-1700
Practice Address - Fax:509-378-3653
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61047060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist