Individual
MISS BO SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
24046 65TH AVE, DOUGLASTON, NY 11362-1921
(646) 750-0779
Mailing address
24046 65TH AVE, DOUGLASTON, NY 11362-1921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053900
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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