Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY MAE MIRANDA MOLL LEE
Active Sole ProprietorKIMBERLY MAE MIRANDA MOLL LEE is a Indian Health Service Pharmacy healthcare provider located in TUBA CITY, Arizona. NPI 1780331231 is currently active in the NPPES registry. Verify at CMS.
Indian Health Service Pharmacy · TUBA CITY, AZ
Registration Details
- NPI Number
- 1780331231
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2022 (4.258543448221 yrs)
- Last Updated
- Jun 6, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
167 N MAIN STTUBA CITY, AZ, 86045Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832754
- Fax
- 9282832758
- Primary Specialty
-
Indian Health Service Pharmacy
332800000X
- Additional Specialty
- Indian Health Service Pharmacy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.