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Jenna Lee

Pharmacist in Forest Hills, NY. Individual provider (NPI-1).

NPI number1366094906
StatusActive
Last updated in NPPESDec 23, 2020

Details

NPI
1366094906
Entity type
Individual (NPI-1)
Name
Jenna Lee
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2019
Certification date
Dec 23, 2020
Last updated
Dec 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist065493NYYes

Practice location

10425 Queens Blvd
Forest Hills, NY 11375-3757

Phone 718-896-7901

Mailing address

10425 Queens Blvd
Forest Hills, NY 11375-3757

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