Individual
GINA JIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202211432
VA
183500000X
Pharmacist
PH100001546
DC
1835P1200X
Pharmacotherapy Pharmacist
Primary
3131113
DC
Other
Enumeration date
08/29/2013
Last updated
06/15/2021
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