Provider Demographics
NPI:1174093876
Name:RHEE, CAROLINE JUNE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:JUNE
Last Name:RHEE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17321 MURPHY AVE APT 322
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-8913
Mailing Address - Country:US
Mailing Address - Phone:661-755-9412
Mailing Address - Fax:
Practice Address - Street 1:700 S GAFFEY ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3029
Practice Address - Country:US
Practice Address - Phone:310-514-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist