Provider Demographics
NPI:1780960351
Name:LEE, JINHEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JINHEE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11440 WINDEMERE PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582
Mailing Address - Country:US
Mailing Address - Phone:925-364-6401
Mailing Address - Fax:925-364-6402
Practice Address - Street 1:2810 S TRACY BLVD
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-8127
Practice Address - Country:US
Practice Address - Phone:209-834-0248
Practice Address - Fax:209-834-0871
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232718183500000X
CARPH63830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist