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Dae Kyong Song

Pharmacist in Apex, NC. Individual provider (NPI-1).

NPI number1013676873
StatusActive
Last updated in NPPESDec 9, 2021

Details

NPI
1013676873
Entity type
Individual (NPI-1)
Name
Dae Kyong Song
Sex
Male
Sole proprietor
No
Enumeration date
Dec 9, 2021
Certification date
Dec 9, 2021
Last updated
Dec 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist30777NCYes

Practice location

5153 Sunset Lake Rd
Apex, NC 27539-8792

Phone 919-290-2630

Mailing address

5153 Sunset Lake Rd
Apex, NC 27539-8792

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