Individual
DONGMIN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13047 FAIR LAKES SHOPPING CTR, FAIRFAX, VA 22033-5179
(703) 449-8186
Mailing address
12562 SUMMIT MANOR DR APT 303, FAIRFAX, VA 22033-5729
(508) 736-8985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221277
VA
183500000X
Pharmacist
PH241468
MA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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