Individual
JEAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSPHARM
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9370
AZ
1835G0303X
Geriatric Pharmacist
Primary
0769
VA
Other
Enumeration date
08/03/2006
Last updated
09/11/2025
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