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NPI Code Detail

MEDICARE: MISS AMY LEE RPH

MEDICARE:  MISS AMY  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
1183500000XPharmacist054482NY

General Provider Information

NPI Number : 1679887715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMY LEE RPH
Provider Business Mailing Address
First Line : 3766 82ND ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7006
Country : US
Telephone Number : 718-507-8056
Fax Number :
Provider Business Practice Location Address
First Line : 3766 82ND ST
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7006
Country : US
Telephone Number : 718-507-8056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2010
Last Update Date : 06/06/2014

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Directions to “ MISS AMY LEE RPH” Practice Location

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