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NPI Code Detail

MEDICARE: JENNIFFER LEE PHARMD

MEDICARE:   JENNIFFER  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
1183500000XPharmacist062369NY

General Provider Information

NPI Number : 1942741962
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFFER LEE PHARMD
Provider Business Mailing Address
First Line : 2416 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-6507
Country : US
Telephone Number : 718-885-5056
Fax Number :
Provider Business Practice Location Address
First Line : 582 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5625
Country : US
Telephone Number : 718-342-3446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 03/09/2017

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