Individual
JENNIFER JEESU LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2419 NICHOL AVE, ANDERSON, IN 46016-3070
(765) 643-4313
Mailing address
11549 YARD ST APT 548, FISHERS, IN 46037-0047
(317) 459-5949
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26029791A
IN
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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