Individual
JI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 KEARSLEY RD, SICKLERVILLE, NJ 08081-9763
(856) 566-2602
Mailing address
311 CHESTNUT NECK RD, PORT REPUBLIC, NJ 08241-9703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02743200
NJ
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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