Provider Demographics
NPI:1962785006
Name:LEE, JIHEE CHOI (PHARM D)
Entity type:Individual
Prefix:
First Name:JIHEE
Middle Name:CHOI
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 1:215 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-7243
Mailing Address - Country:US
Mailing Address - Phone:619-401-0761
Mailing Address - Fax:619-401-3435
Practice Address - Street 1:215 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-7243
Practice Address - Country:US
Practice Address - Phone:619-401-0761
Practice Address - Fax:619-401-3435
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA048075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist