Individual
MARK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 FOREST ST, CLOSTER, NJ 07624-1619
(201) 906-8258
Mailing address
100 FOREST ST, CLOSTER, NJ 07624-1619
(201) 906-8258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0598181
NY
183500000X
Pharmacist
Primary
28R103672400
NJ
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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