Individual
MRS. JAE EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
4595 HWY 92, ACWORTH, GA 30102
(770) 529-9712
Mailing address
1815 S VERMONT AVE, LOS ANGELES, CA 90006-4525
(323) 735-0774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH030842
GA
183500000X
Pharmacist
Primary
RPH59012
CA
Other
Enumeration date
05/21/2010
Last updated
04/07/2023
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