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Jina Lee Sung

Pharmacist in North Providence, RI. Individual provider (NPI-1).

NPI number1982209102
StatusActive
Last updated in NPPESDec 3, 2020

Details

NPI
1982209102
Entity type
Individual (NPI-1)
Name
Jina Lee Sung
Sex
Female
Sole proprietor
No
Enumeration date
Dec 3, 2020
Certification date
Dec 3, 2020
Last updated
Dec 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH06087RIYes
183500000X PharmacistPH239359MA

Practice location

1919 Mineral Spring Ave
North Providence, RI 02904-3772

Phone 401-353-2501

Mailing address

1919 Mineral Spring Ave
North Providence, RI 02904-3772

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