# FORT LEE PHARMACY & SURGICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Lee Pharmacy & Surgicals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770093544
- **Authorized official:** MYEONGHA JO (OWNER)
- **Authorized official phone:** (201) 346-9202

## Contact information

- **Practice address:** 1562 LEMOINE AVE, FORT LEE, NJ 07024-5652
- **Practice address phone:** (201) 346-9202
- **Mailing address:** 1562 LEMOINE AVE STE 2, FORT LEE, NJ 07024-5652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 10/03/2024