Gregory T Lee
NPI #1407946320 in Prentiss, Mississippi
Provider Information
- NPI Number
- 1407946320
- Entity Type
- Organization
- Organization Name
- Gregory T Lee
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Oct 6, 2016
Practice Location
- Address
- 2234 COLUMBIA AVE
- City
- Prentiss
- State
- Mississippi
- ZIP Code
- 39474-0819
- Phone
- (601) 792-4959
Authorized Official
- Name
- GREGORY LEE
- Title
- OWNER
- Phone
- (601) 792-4959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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