KIMBERLY MAE MIRANDA MOLL LEE NPI 1780331231

NPI Information

Kimberly Mae Miranda Moll Lee is an indian health service tribal urban indian health i t u pharmacy in Tuba City, AZ. The provider is 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. Kimberly Mae Miranda Moll Lee NPI is 1780331231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

167 N MAIN ST
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-2754
Fax: (928) 283-2758

The enumeration date for this NPI number is 3/4/2022 and was last updated on 6/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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