Individual
JIYOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 BERGEN BLVD, FORT LEE, NJ 07024-2176
(201) 947-4840
Mailing address
22 PHELPS AVE, CRESSKILL, NJ 07626-2525
(781) 686-8821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04281900
NJ
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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