Individual
BUM-JUN OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4747 E ELLIOT RD, PHOENIX, AZ 85044-1627
(480) 496-0019
Mailing address
5010 E CHEYENNE DR APT 1121, PHOENIX, AZ 85044-1784
(217) 722-4694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018498
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S018498
ARIZONA PHARMACY LICENSE
AZ
Enumeration date
07/06/2011
Last updated
07/06/2011
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