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NPI Code Detail

MEDICARE: KAYLA LEE PHARMD

MEDICARE: KAYLA LEE PHARMD
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
1183500000XPharmacist28RI03445300NJ

General Provider Information

NPI Number : 1912289075
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA LEE PHARMD
Provider Business Mailing Address
First Line : 538 ELM AVE
Second Line :
City : RIDGEFIELD
State : NJ
Zip : 07657-1316
Country : US
Telephone Number : 201-724-4251
Fax Number :
Provider Business Practice Location Address
First Line : 2151 LEMOINE AVE
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-6041
Country : US
Telephone Number : 201-947-6772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 09/14/2011

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Directions to “ KAYLA LEE PHARMD” Practice Location

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