Individual
JAEYOUNG JOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 WASHINGTON CORS, WASHINGTON, MO 63090-4603
(636) 239-7483
Mailing address
3949 LINDELL BLVD, SAINT LOUIS, MO 63108-3516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020029160
MO
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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