MEDICARE: LINDA OI LEE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	034808-1	NY
2	183500000X	Pharmacist	28RI01970700	NJ

General Provider Information

NPI Number	:	1588987127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA OI LEE RPH

Provider Business Mailing Address
First Line	:	3147 KENNEDY BLVD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-2379
Country	:	US
Telephone Number	:	201-865-7050
Fax Number	:

Provider Business Practice Location Address
First Line	:	3147 KENNEDY BLVD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-2379
Country	:	US
Telephone Number	:	201-865-7050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	03/10/2010

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Directions to “ LINDA OI LEE RPH” Practice Location

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