Provider Demographics
NPI:1982972394
Name:LEE, ANH P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:P
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANH
Other - Middle Name:P
Other - Last Name:DAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1728 E SANDALWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-1642
Mailing Address - Country:US
Mailing Address - Phone:312-943-0671
Mailing Address - Fax:
Practice Address - Street 1:933 N STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-2842
Practice Address - Country:US
Practice Address - Phone:312-943-0671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051295038183500000X
CA58529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist