Individual
BONA SUJIN KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2001 PACIFIC COAST HWY, LOMITA, CA 90717-2604
(424) 247-4717
Mailing address
2001 PACIFIC COAST HWY, LOMITA, CA 90717-2604
(310) 517-9535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83763
CA
Other
Enumeration date
12/07/2020
Last updated
12/23/2021
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