Provider Demographics
NPI:1952622672
Name:LEE, CYNETHA LEE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CYNETHA
Middle Name:LEE
Last Name:LEE
Suffix:
Gender:F
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 1:99 S ALMONDELL CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3373
Mailing Address - Country:US
Mailing Address - Phone:832-521-3152
Mailing Address - Fax:
Practice Address - Street 1:6467 WOODLANDS PKWY
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3616
Practice Address - Country:US
Practice Address - Phone:281-292-6743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist