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LUCY HAEMIN AHN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1518637636

Individual Registrant:
 LUCY HAEMIN AHN PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
431 CORTE MADERA TOWN CTR  CORTE MADERA, CA 94925-1215 US
Tel: 415-924-4557  Fax: --

Contact information for business:
260 MERRYDALE RD APT 19  SAN RAFAEL, CA 94903-3957 US
Tel: 858-761-2250  Fax: --

Registration Information:
NPI: 1518637636
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH84581

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CA BOPRPH84581CA01




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