Individual
ASHLEY JEESUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
262 E BURNSIDE AVE, BRONX, NY 10457-3724
(718) 294-1470
Mailing address
23948 66TH AVE, DOUGLASTON, NY 11362-1923
(646) 662-6992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I066010-01
NY
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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