Individual
DA EUN MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
599 S ENOTA DR NE, GAINESVILLE, GA 30501-2545
(770) 536-4361
Mailing address
599 S ENOTA DR NE, GAINESVILLE, GA 30501-2545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028851
GA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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