Individual
BOMIN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 RITCHIE HWY, GLEN BURNIE, MD 21061-3110
(410) 760-2112
Mailing address
107 WELLS AVE, GLEN BURNIE, MD 21061-2726
(412) 432-6883
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
23744
MD
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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