Individual
CHONGAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 W LANCASTER AVE, ARDMORE, PA 19003-1401
(610) 649-7150
Mailing address
169 W LANCASTER AVE, ARDMORE, PA 19003-1401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP449023
PA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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