Individual
BO HYUNG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
4500 S LANCASTER RD, DPT 119, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
4500 S LANCASTER RD, DPT 119, DALLAS, TX 75216-7167
(214) 742-8387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59354
TX
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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