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Individual

MIN KONG

Active
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Individual

MIN KONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03129603
OH
183500000X
Pharmacist
Primary
031296031
OH
1835P1200X
Pharmacotherapy Pharmacist
03129603
OH
1835P1200X
Pharmacotherapy Pharmacist
031296031
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
333600000X
PHARMACY
OH
Enumeration date
11/26/2020
Last updated
11/26/2020
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