Provider Demographics
NPI:1861795981
Name:LEE, DENNIS JAMES (RPH)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:JAMES
Last Name:LEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5114
Mailing Address - Country:US
Mailing Address - Phone:540-432-1131
Mailing Address - Fax:540-442-8922
Practice Address - Street 1:1790 E MARKET ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5114
Practice Address - Country:US
Practice Address - Phone:540-432-1131
Practice Address - Fax:540-442-8922
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005107183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist