Provider Demographics
NPI:1801038229
Name:LEE, GIEUN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GIEUN
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:JIEUN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8480 LIMEKILN PIKE APT 1019
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2838
Mailing Address - Country:US
Mailing Address - Phone:215-609-6982
Mailing Address - Fax:
Practice Address - Street 1:8480 LIMEKILN PIKE APT 1019
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2838
Practice Address - Country:US
Practice Address - Phone:215-609-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist