Most Relevant Information
Provider Data
NPI Number: | 1003240789 |
Provider Name: | GINA JIN LEE PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 0202211432 |
Most Important Dates
Enumeration Date: | 08/29/2013 |
Last Updated: | 06/15/2021 |
Provider Practice Location
111 MICHIGAN AVE NW
WASHINGTON
DC
200102916
Practice Location Phone/Fax
Phone: | 2024764080 |
Fax: |
Provider Mailing Location
5783 DEVON LN
BURKE
VA
22015
Provider Mailing Phone/Fax
Phone: | 7035818503 |
Fax: |