Gregory T Lee

NPI 1407946320 - Pharmacy - 333600000X

NPI Details
NPI 1407946320
Enumeration Date 10/13/2006
Last Updated 01/13/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GREGORY GREGORY
Position OWNER
Phone (601) 792-4959
Fax (601) 792-4003
Practice Location
2234 COLUMBIA AVE
PRENTISS MS, 39474-0819, US
Phone (601) 792-4959
Fax (601) 792-4003
Business Location
PO BOX 819
PRENTISS MS, 39474-0819, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Gregory T Lee NPI is 1407946320, taxonomy code is 333600000X Gregory T Lee physically located at 2234 Columbia Ave, Prentiss MS, 39474-0819. NPI Number 1033115704 has the healthcare provider type.

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1407946320 NPI number is provided on an as is basis without warranty of any kind. 1407946320 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory T Lee are for informational purposes only.