Individual ProviderBertram LeePharmacistPharmacy Service ProvidersPractice Address3233 W Hammer Ln, Stockton, CA 95209-2751(209) 952-1212(209) 478-7452PECOS EnrollmentBased on the most recent information from CMS, provider Bertram 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 34 days ago.Profile DetailsProvider ID1659355717Provider TypeIndividualFull NameLee, BertramTitleMr.CredentialPHARM.D.GenderMaleEnumeration Date12/2/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address3233 W Hammer Ln, Stockton, CA 95209-2751Phone(209) 952-1212Fax(209) 952-1232Mailing LocationMailing AddressPO Box 7709, Stockton, CA 95267-0709Phone(209) 478-7452Fax(209) 320-3507Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH35415California