Individual
JI YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 JOHN F. KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 854-6092
Mailing address
9255 JOHN F. KENNEDY BLVD, NORTH BERGEN, NJ 07047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04124400
NJ
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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