Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Mae Miranda Moll Lee

Individual provider Community/Retail Pharmacy · NPI 1780331231

Kimberly Mae Miranda Moll Lee is a Community/Retail Pharmacy in Tuba City, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045
Phone: (928) 283-2754
Fax: (928) 283-2758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Three Chimneys Way, Oakdale, CA 95361-7781 — (209) 535-7508

Specialties & licences

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) Taxonomy 332800000X
Community/Retail Pharmacy Taxonomy 3336C0003X (CA)

Record details

NPI number1780331231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2022
Last updated in NPPESJune 6, 2022
Certification dateMay 29, 2022