Most Relevant Information
Provider Data
| NPI Number: | 1003545088 |
| Provider Name: | LEE MARTIN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | S009628 |
Most Important Dates
| Enumeration Date: | 06/06/2022 |
| Last Updated: | 06/06/2022 |
Provider Practice Location
2401 W GRANDVIEW RD STE 100
PHOENIX
AZ
850233116
Practice Location Phone/Fax
| Phone: | 8442059135 |
| Fax: |
Provider Mailing Location
3610 W SAGUARO PARK LN
GLENDALE
AZ
853103385
Provider Mailing Phone/Fax
| Phone: | 4802769447 |
| Fax: |