Individual ProviderJian LeePharmacistPharmacy Service ProvidersPractice Address8040 Academy Rd NE, Albuquerque, NM 87111-1159(505) 823-4480(505) 550-3789PECOS EnrollmentBased on the most recent information from CMS, provider Jian 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 today at 9:43 AM.Profile DetailsProvider ID1770936437Provider TypeIndividualFull NameLee, JianCredentialRPHGenderMaleSole ProprietorNoEnumeration Date7/18/2016Last Updated7/18/2016Contact InformationPractice LocationPractice Address8040 Academy Rd NE, Albuquerque, NM 87111-1159Phone(505) 823-4480FaxUnlisted FaxMailing LocationMailing Address7505 Treviso Ct NE, Albuquerque, NM 87113-2379Phone(505) 550-3789FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00008546New Mexico