Lee Brian Lott, RPH
Individual provider Active NPI Pharmacist · Water Valley, MS
NPI 1043737729 · NPPES record last updated Aug 24, 2017
Key facts
- NPI
- 1043737729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- T8585 (MS)
- Practice address
- 409 Duncan St
Water Valley, MS 38965-2547 - Phone
- (662) 473-3333
- Fax
- (662) 473-3788
- NPI assigned
- Aug 24, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T8585 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T8585 | MS | Yes |
Addresses
Primary practice location
409 Duncan St
Water Valley, MS 38965-2547
Mailing address
1345 Highway 7 S
Water Valley, MS 38965-3755
Phone (662) 473-6631
Other providers in Water Valley, MS
- Myranda Lancaster
- Anna Mathis Larson
- Lee Pullen
- Alice Lee
- Joeli Link
- Brenda McCullough
- Carrie Aden McDaniel
- Jennifer S McGavock
- Med-Mart Home Care Inc
- Mississipp State Department of Health
All providers in Water Valley, MS · Pharmacist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.