Individual
MR. CHUNGMAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6725 169TH ST, FRESH MEADOWS, NY 11365-3305
(917) 693-4211
Mailing address
6725 169TH ST, FRESH MEADOWS, NY 11365-3305
(917) 693-4211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043326
RPH LICENSE
NY
Enumeration date
09/23/2005
Last updated
11/13/2007
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