Provider Demographics
NPI:1194101741
Name:RHEE, MINAH (PHARMD)
Entity type:Individual
Prefix:
First Name:MINAH
Middle Name:
Last Name:RHEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MIN AH
Other - Middle Name:
Other - Last Name:RHEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16434 VISIONS DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-6570
Mailing Address - Country:US
Mailing Address - Phone:562-261-3512
Mailing Address - Fax:
Practice Address - Street 1:16434 VISIONS DR
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-6570
Practice Address - Country:US
Practice Address - Phone:562-261-3512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA677421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist