Individual provider · Type 1 NPI

Jeong Su Lee

Pharmacist · Buena Park, CA

NPI number 1891658043 Active

Practice location

5821 Beach Blvd Ste 101
Buena Park, CA 90621-2021

Mailing address

1901 E Dyer Rd Unit 537
Santa Ana, CA 92705-5799

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X91450 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1891658043

Jeong Su Lee's National Provider Identifier is 1891658043, issued on Dec 4, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Buena Park, CA. The record was last updated on Dec 4, 2025.