Individual
KYUNG JOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 TAYLOR RD, MONTGOMERY, AL 36116-6767
(334) 244-0143
Mailing address
3110 TAYLOR RD, MONTGOMERY, AL 36116-6767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18949
AL
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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