Michael Eugene Lee, D.PH.
Individual provider Active NPI Pharmacist · Davis, OK
NPI 1851433734 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851433734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9377 (OK)
- Practice address
- 705 E Main St
Davis, OK 73030-1913 - Phone
- (580) 369-3776
- Fax
- (580) 369-2115
- NPI assigned
- Feb 13, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9377 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sooner Pharmacy of Davis Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9377 | OK | Yes |
Addresses
Primary practice location
705 E Main St
Davis, OK 73030-1913
Mailing address
705 E Main St
Davis, OK 73030-1913
Phone (580) 369-3776
Other providers in Davis, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.