KYUNG JAE LEE

MERIDIAN, ID
NPI1184304347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P10652)
Additional Taxonomies183500000X Pharmacist
(Licence: MA  PH238571)
183500000X Pharmacist
(Licence: WA  PH61526496)
Enumeration Date2023-07-24
Last Update Date2024-05-30
Business Address
KYUNG JAE LEE PharmD
4850 N LINDER RD
MERIDIAN, ID 83646-6159
Phone number: 208-319-0047
Mailing Address
KYUNG JAE LEE PharmD
4850 N LINDER RD
MERIDIAN, ID 83646-6159
Phone number: 208-319-0047