Individual
MS. JINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
94 STATE RT 23, RIVERDALE, NJ 07457-1208
(973) 850-2862
Mailing address
94 STATE RT 23, RIVERDALE, NJ 07457-1208
(973) 850-2862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
059816
NY
183500000X
Pharmacist
Primary
28RI03668400
NJ
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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