Individual
JI EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 HICKORY DR STE 1, WALTHAM, MA 02451-1011
(781) 373-9240
Mailing address
255 NORTH RD UNIT 37, CHELMSFORD, MA 01824-1406
(774) 641-9488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240393
MA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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