Individual
HYUN JUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2460 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4148
(703) 490-4415
Mailing address
15008 LOST CANYON CT APT 104, WOODBRIDGE, VA 22191-4901
(240) 506-1033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211647
VA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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