Provider Demographics
NPI:1336411719
Name:LEE, ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 DANIELS POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-6734
Mailing Address - Country:US
Mailing Address - Phone:843-442-0131
Mailing Address - Fax:
Practice Address - Street 1:2777 SPEISSEGGER DR
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8229
Practice Address - Country:US
Practice Address - Phone:843-745-5183
Practice Address - Fax:843-745-5132
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist