Individual
MISS MARY M KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D, MBA, BS
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
1325 PENNSYLVANIA AVE APT 10B, BROOKLYN, NY 11239-1902
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02190200
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI02190200
NJ
Other
Enumeration date
07/16/2006
Last updated
08/31/2010
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