Individual
CHIYEON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
123 ANDERSON ST, HACKENSACK, NJ 07601-3503
(201) 488-0654
Mailing address
123 ANDERSON ST, HACKENSACK, NJ 07601-3503
(201) 488-0654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03657400
NJ
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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