Provider Demographics
NPI:1811665672
Name:LEE, HEEHO (PHARM D)
Entity type:Individual
Prefix:DR
First Name:HEEHO
Middle Name:
Last Name:LEE
Suffix:
Gender:M
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 1:2735 SW 35TH PL APT 604
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3282
Mailing Address - Country:US
Mailing Address - Phone:910-599-0923
Mailing Address - Fax:
Practice Address - Street 1:14040 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-2763
Practice Address - Country:US
Practice Address - Phone:352-332-6255
Practice Address - Fax:352-332-6791
Is Sole Proprietor?:No
Enumeration Date:2021-09-05
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist