Individual
CLARA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-1719
(718) 353-3204
Mailing address
7309 182ND ST, FRESH MEADOWS, NY 11366-1611
(718) 640-6651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063204
NY
Other
Enumeration date
10/07/2017
Last updated
10/07/2017
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