Sam Sun Young Ahn, PharmD
Pharmacist in Normal, IL. Individual provider (NPI-1).
NPI number1508470873
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1508470873
- Entity type
- Individual (NPI-1)
- Name
- Sam Sun Young Ahn
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051.296489 | IL | Yes |
Practice location
1502 Fort Jesse RdNormal, IL 61761-1980
Phone 309-862-4156
Mailing address
1502 Fort Jesse RdNormal, IL 61761-1980
Phone 309-862-4156
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