Individual
AMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1197 AMBOY AVE, EDISON, NJ 08837-2536
(732) 549-3875
Mailing address
199 PIERCE ST APT 1138, SOMERSET, NJ 08873-1266
(312) 753-8938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04018600
NJ
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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