Individual
DAE KYONG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5153 SUNSET LAKE RD, APEX, NC 27539-8792
(919) 290-2630
Mailing address
5153 SUNSET LAKE RD, APEX, NC 27539-8792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30777
NC
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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