Most Relevant Information
Provider Data
| NPI Number: | 1003674789 |
| Provider Name: | BRYAN LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 88706 |
Most Important Dates
| Enumeration Date: | 03/07/2024 |
| Last Updated: | 03/07/2024 |
Provider Practice Location
1902 ROYALTY DR STE 110
POMONA
CA
917673036
Practice Location Phone/Fax
| Phone: | 9096208008 |
| Fax: |
Provider Mailing Location
11260 GREYCLIFF AVE
MONTCLAIR
CA
917636436
Provider Mailing Phone/Fax
| Phone: | 8082556053 |
| Fax: |