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Chaewon Bae

Pharmacist in Colton, CA. Individual provider (NPI-1).

NPI number1508615352
StatusActive
Last updated in NPPESMay 15, 2024

Details

NPI
1508615352
Entity type
Individual (NPI-1)
Name
Chaewon Bae
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2024
Certification date
May 15, 2024
Last updated
May 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist89560CAYes

Practice location

1040 S Mount Vernon Ave Ste E
Colton, CA 92324-4228

Phone 909-222-4884

Mailing address

25233 Shepardson Dr Apt 4
Loma Linda, CA 92354-2925

Phone 951-772-2641

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