Individual
BOM JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 BELLE TERRE PKWY, PALM COAST, FL 32137-8689
(386) 446-9449
(386) 446-9971
Mailing address
5151 BELLE TERRE PKWY, PALM COAST, FL 32137-8689
(386) 446-9449
(386) 446-9971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38678
FL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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