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Individual

SUNG EUN MO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
115 KALI LN APT A, POPLAR BLUFF, MO 63901-9008
(334) 804-9621

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P10976
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH034808
GA

Other

Enumeration date
09/28/2023
Last updated
04/30/2025
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