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Jae Ki Lee
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Worth, Texas
NPI 1528667961

Jae Ki Lee is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Fort Worth, TX and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Jae Ki Lee practices in Fort Worth, TX. The NPI Number for Jae Ki Lee is 1528667961 and holds a License No. 57496 (Texas).

The current practice location address for Jae Ki Lee is 6650 N Beach St, Fort Worth, TX and can be reached out via phone at 817-788-1757.

Location: 6650 N Beach St, Fort Worth, TX, 76137-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528667961
Provider Name
Jae Ki Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
6650 N Beach St, Fort Worth, TX, 76137-1801
Phone Number
817-788-1757
Fax Number
Provider Enumeration Date
10/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6650 N Beach St
City
Fort Worth
State
Texas
Zip
76137-1801
Phone Number
817-788-1757
Fax Number
person
Provider Business Mailing Address Details
Address
6650 N Beach St
City
Fort Worth
State
Texas
Zip
76137-1801
Phone Number
817-788-1757
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
57496 (Texas)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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