Individual
KAYLA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2151 LEMOINE AVE, FORT LEE, NJ 07024-6041
(201) 947-6772
Mailing address
538 ELM AVE, RIDGEFIELD, NJ 07657-1316
(201) 724-4251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03445300
NJ
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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