Individual
ELEASE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 S 3RD STREET, PHILADELPHIA, PA 19148
(215) 468-2111
(215) 468-0387
Mailing address
658 N 8TH ST, PHILADELPHIA, PA 19123-3402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP450937
PA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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