IndividualActive
Annie Lee
NPI 1407567761 · Pharmacy · Garden Grove, CA
Provider details
- NPI number
- 1407567761
- Entity type
- Individual
- Primary specialty
- PharmacySuppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86833 (CA)
Specialties & taxonomies
Suppliers
Practice location
12031 Brookhurst St
Garden Grove, CA 92840-2814
Phone: (714) 530-5280
Approximate (ZIP-level) locationGet directions
Mailing address
7802 Samura Pl Apt 13
Garden Grove, CA 92841-4157
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.