Individual
SOOKKYUNG MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 SOUTH ST, LAFAYETTE, IN 47904-2962
(765) 448-1366
Mailing address
1801 SOUTH ST, LAFAYETTE, IN 47904-2962
(765) 448-1366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
260215376A
IN
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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