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1235544057
JI SUP LEE
ROME, GA
NPI
1235544057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH027517)
Enumeration Date
2014-07-01
Last Update Date
2014-07-01
Business Address
DR. JI SUP LEE PHARM.D
15 N DIVISION ST NW
ROME, GA 30165-2327
Phone number: 706-235-5591
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Mailing Address
DR. JI SUP LEE PHARM.D
15 N DIVISION ST NW
ROME, GA 30165-2327
Phone number: 706-235-5591
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