Organization
JUNG SUN LEE
Active
Organization
JUNG SUN LEE
Active
Other names
Kingsley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNG SUN LEE (OWNER, PHARMACIST)
(213) 383-8877
Entity
Organization
Contact information
Practice address
3663 W 6TH ST, SUITE 102, LOS ANGELES, CA 90020-3049
(213) 383-8877
(213) 368-1590
Mailing address
3663 W 6TH ST, SUITE 102, LOS ANGELES, CA 90020-3049
(213) 383-8877
(213) 368-1590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 37825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA378250
—
CA
Enumeration date
02/16/2007
Last updated
08/01/2013
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