Young J Lee | Jersey City, NJ • PECOS Search

Young J Lee

Pharmacy

Suppliers

161 Palisade Ave, Jersey City, NJ 07306-1146

PECOS Enrollment

Based on the most recent information from CMS, provider Young J Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154404424
Provider Type
Individual
Full Name
Lee, Young J
Title
Mr.
Credential
OWNER

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/23/2006
Last Updated
2/21/2011

Contact Information

Practice Location

161 Palisade Ave, Jersey City, NJ 07306-1146

(201) 653-7576

Mailing Location

161 Palisade Ave, Jersey City, NJ 07306-1146

(201) 653-7576

Provider Taxonomies

Code	Description	License
Code 3336C0003X Primary	Description Pharmacy Suppliers	License 28RS00707500 New Jersey