Individual
KWANG NAMKOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11088 W JEWELL AVE, LAKEWOOD, CO 80232-6139
(303) 989-8812
Mailing address
11088 W JEWELL AVE, LAKEWOOD, CO 80232-6139
(303) 989-8812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14806
CO
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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