Individual
SO JEONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5519
(908) 755-7696
Mailing address
812 OLD YORK RD, RARITAN, NJ 08869-1706
(610) 427-1903
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI04035500
NJ
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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