Individual
DA KYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 BROAD AVE, LEONIA, NJ 07605-1826
(201) 849-5157
Mailing address
1504 15TH ST UNIT C, FORT LEE, NJ 07024-2134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04301500
NJ
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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