Individual
DASOM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 CHESTNUT ST, PHILADELPHIA, PA 19107-4802
(215) 574-3502
Mailing address
1520 HAMILTON ST APT 522, PHILADELPHIA, PA 19130-4281
(636) 751-3753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453704
PA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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