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Kimberly Mae Miranda Moll Lee
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Tuba City, Arizona
NPI 1780331231

Kimberly Mae Miranda Moll Lee is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Oakdale, AZ. Kimberly Mae Miranda Moll Lee practices in Tuba City, AZ. The NPI Number for Kimberly Mae Miranda Moll Lee is 1780331231 and holds a License No. (Arizona).

The current practice location address for Kimberly Mae Miranda Moll Lee is 167 N Main St, Tuba City, AZ and can be reached out via phone at 928-283-2754 and via fax at 928-283-2758. You can also correspond with Kimberly Mae Miranda Moll Lee through the mailing address at 710 THREE CHIMNEYS WAY, OAKDALE, CA - 95361-7781 (mailing address contact number: ).

Location: 167 N Main St, Tuba City, AZ, 95361-7781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780331231
Provider Name
Kimberly Mae Miranda Moll Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
167 N Main St, Tuba City, AZ, 95361-7781
Phone Number
928-283-2754
Fax Number
928-283-2758
Provider Enumeration Date
03/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
167 N Main St
City
Tuba City
State
Arizona
Zip
86045
Phone Number
928-283-2754
Fax Number
928-283-2758
person
Provider Business Mailing Address Details
Address
167 N Main St
City
Tuba City
State
Arizona
Zip
86045
Phone Number
928-283-2754
Fax Number
928-283-2758
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
(California)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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