Jin Ah Lee
Pharmacy, Community/Retail Pharmacy in Lombard, IL. Individual provider (NPI-1).
NPI number1811630593
StatusActive
Last updated in NPPESApr 19, 2022
Details
- NPI
- 1811630593
- Entity type
- Individual (NPI-1)
- Name
- Jin Ah Lee
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2022
- Certification date
- Apr 19, 2022
- Last updated
- Apr 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 051304675 | IL | Yes |
Practice location
2720 S Highland Ave Apt 320Lombard, IL 60148-5399
Phone 562-410-7953
Mailing address
324 Roosevelt RdGlen Ellyn, IL 60137-5647
Phone 562-410-7953
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