Jerald Andrew Lee

NPI #1134724230 in Hydro, Oklahoma

Provider Information

NPI Number: 1134724230
Entity Type: Individual
Name: Jerald Andrew Lee
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 4, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 510 N ARAPAHO AVE
City: Hydro
State: Oklahoma
ZIP Code: 73048-8702
Phone: (405) 663-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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