Individual ProviderTommy LeePharmacistPharmacy Service ProvidersPractice Address1015 Ripley St, Silver Spring, MD 20910-3348(301) 273-9526(443) 535-2800PECOS EnrollmentBased on the most recent information from CMS, provider Tommy Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063987907Provider TypeIndividualFull NameLee, TommyGenderMaleSole ProprietorYesEnumeration Date10/8/2018Last Updated10/8/2018Contact InformationPractice LocationPractice Address1015 Ripley St, Silver Spring, MD 20910-3348Phone(301) 273-9526FaxUnlisted FaxMailing LocationMailing Address5833 White Pebble Path, Clarksville, MD 21029-1667Phone(443) 535-2800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense25984Maryland