Individual
ANDREW LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(646) 378-9578
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060955
NY
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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