Provider Demographics
NPI:1841625688
Name:LEE, CHRISTOPHER EUGENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EUGENE
Last Name:LEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:C.
Other - Middle Name:EUGENE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3101 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-3042
Mailing Address - Country:US
Mailing Address - Phone:703-706-3852
Mailing Address - Fax:571-388-5426
Practice Address - Street 1:3101 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-3042
Practice Address - Country:US
Practice Address - Phone:703-706-3852
Practice Address - Fax:571-388-5426
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212573183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist