Individual
DR. JI M KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 239-3762
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 239-3762
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1140655
MN
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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