Individual
KYOO YEON KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 TREMONT ST, ROXBURY CROSSING, MA 02120-1613
(617) 232-5457
Mailing address
1630 TREMONT ST, ROXBURY CROSSING, MA 02120-1613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239623
MA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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