Individual
SONGE BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4920 CAMPBELL BLVD, NOTTINGHAM, MD 21236-5916
(410) 933-7626
Mailing address
4920 CAMPBELL BLVD, NOTTINGHAM, MD 21236-5916
(410) 933-7626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25240
MD
Other
Enumeration date
10/18/2017
Last updated
09/14/2018
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