Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7823 BERGENLINE AVE, NORTH BERGEN, NJ 07047-4942
(201) 869-1235
Mailing address
264 CUSHING AVE, WILLISTON PARK, NY 11596-1049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04302900
NJ
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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