Individual
JUNG MIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
919 S MAIN ST, FARMVILLE, VA 23901-2211
(434) 392-3104
Mailing address
919 S MAIN ST, FARMVILLE, VA 23901-2211
(434) 392-3104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215484
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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