MEDICARE: JOANNE C LEE PHARM D

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	053410	NY

General Provider Information

NPI Number	:	1285943431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE C LEE PHARM D

Provider Business Mailing Address
First Line	:	6155 98TH ST APT 4M
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-1436
Country	:	US
Telephone Number	:	917-226-0950
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 E BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-6813
Country	:	US
Telephone Number	:	212-941-0888
Fax Number	:

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

Provider Enumeration Date	:	10/05/2010
Last Update Date	:	09/25/2024

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Directions to “ JOANNE C LEE PHARM D” Practice Location

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