Most Relevant Information
Provider Data
| NPI Number: | 1003239708 |
| Provider Name: | MARIANNE LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 49633 |
Most Important Dates
| Enumeration Date: | 01/31/2014 |
| Last Updated: | 01/31/2014 |
Provider Practice Location
16940 DEVONSHIRE ST
GRANADA HILLS
CA
913447406
Practice Location Phone/Fax
| Phone: | 8188318962 |
| Fax: | 8188328515 |
Provider Mailing Location
16940 DEVONSHIRE ST
GRANADA HILLS
CA
913447406
Provider Mailing Phone/Fax
| Phone: | 8188318962 |
| Fax: | 8188328515 |