Provider Demographics
NPI:1962570911
Name:SHAPIRO, LEE RONALD (RPH)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:RONALD
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23031 BLUE BIRD DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1834
Mailing Address - Country:US
Mailing Address - Phone:818-222-8224
Mailing Address - Fax:
Practice Address - Street 1:22277 MULHOLLAND HWY
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1834
Practice Address - Country:US
Practice Address - Phone:818-223-8656
Practice Address - Fax:818-223-8750
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist