Individual
GINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3010
(215) 642-2422
Mailing address
2401 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3010
(215) 642-2422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP457201
PA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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