Individual
LEE KIM PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2626 FEDERAL ST, CAMDEN, NJ 08105-1936
(856) 963-0300
Mailing address
2626 FEDERAL ST, CAMDEN, NJ 08105-1936
(856) 963-0300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04195600
NJ
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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