Individual
CICILY YOUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
417 W ROCK ISLAND AVE, BOYD, TX 76023-3103
(940) 433-8056
Mailing address
3535 BLUFFS LN APT 14301, GRAPEVINE, TX 76051-1252
(940) 594-5091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61151
TX
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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