Individual
JENNA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PARK ST, NEW HAVEN, CT 06511-5474
(337) 396-6425
Mailing address
55 PARK ST, NEW HAVEN, CT 06511-5474
(337) 396-6425
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PCT.0014479
CT
Other
Enumeration date
10/30/2014
Last updated
06/04/2019
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