Provider Demographics
NPI:1386071090
Name:LEE, AMY CHRISTINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:CHRISTINE
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15725 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2347
Mailing Address - Country:US
Mailing Address - Phone:562-448-1350
Mailing Address - Fax:
Practice Address - Street 1:15725 WHITTIER BOULEVARD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-6511
Practice Address - Country:US
Practice Address - Phone:562-448-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist