Individual
DR. JENNA NICOLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
3300 MAIN ST STE 3A, SPRINGFIELD, MA 01199-1271
(413) 794-7493
Mailing address
1119 CANYON RIDGE DR, BROAD BROOK, CT 06016-5609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239099
MA
Other
Enumeration date
06/29/2022
Last updated
11/04/2022
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