Individual ProviderSooyeon LeePharmacistPharmacy Service ProvidersPractice Address3020 Windward Plz, Alpharetta, GA 30005-7449(404) 771-8855PECOS EnrollmentBased on the most recent information from CMS, provider Sooyeon 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 4 days ago.Profile DetailsProvider ID1326758970Provider TypeIndividualFull NameLee, SooyeonCredentialPHARM.DGenderFemaleSole ProprietorYesEnumeration Date12/5/2022Last Updated12/5/2022Contact InformationPractice LocationPractice Address3020 Windward Plz, Alpharetta, GA 30005-7449Phone(404) 771-8855FaxUnlisted FaxMailing LocationMailing Address2203 Shenley Park Ln, Duluth, GA 30097-4969Phone(404) 771-8855FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH033924Georgia