Bruce and Lee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55523 Issued in CA

Legal business name

BRUCE AND LEE INC

Practice address

73 W March Lane Ste D
Stockton, CA 95207-5726

Phone

(209) 957-2295

Fax

(209) 957-2325

NPI assigned

Feb 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ly Lim

Title

Owner / Ceo

Phone

(209) 952-9189

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1285173104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W MARCH LANE STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075726",
            "telephone_number": "209-957-2295",
            "fax_number": "209-957-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W MARCH LANE STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075726",
            "telephone_number": "209-957-2295",
            "fax_number": "209-957-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE AND LEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "LY",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "209-952-9189"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tome Mary Brown
• Tressa Brown, B.S., SLPA
• Robert Craig Brownell, ED.D.
• Awanda Brownlee
• Graciehla Brual
• Bruce Enterprise LLC
• Aloyouis Bruce
• Thomas A Brucker
• Jasmine Brunt
• Bta LLC

• Community/Retail Pharmacy in Stockton, CA
• Providers in Stockton, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.