Provider Demographics
NPI:1689015752
Name:LEE, ANGELA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22370 DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-5382
Mailing Address - Country:US
Mailing Address - Phone:571-252-6000
Mailing Address - Fax:
Practice Address - Street 1:22370 DAVIS DR
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-5382
Practice Address - Country:US
Practice Address - Phone:571-252-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05240183500000X
DCPH100002120183500000X
VA0202214182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist