Individual
ELLIE MIJI KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 BOYLSTON ST, BOSTON, MA 02215-3417
(617) 264-3000
Mailing address
1249 BOYLSTON ST, BOSTON, MA 02215-3417
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH237782
MA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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