Individual
KIM Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
173 NELSON AVE, JERSEY CITY, NJ 07307-3931
(917) 815-0234
Mailing address
173 NELSON AVE, JERSEY CITY, NJ 07307-3931
(917) 815-0234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20053938
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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