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1306994553
KY SAN
PORTLAND, OR
NPI
1306994553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 53066)
Enumeration Date
2007-01-06
Last Update Date
2023-06-13
Business Address
Dr. KY SAN Pharm.D.
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211-3237
Phone number: 503-988-8264
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Mailing Address
Dr. KY SAN Pharm.D.
2700 DOLBEER ST PHARMACY
EUREKA, CA 95501-4736
Phone number: 707-445-8121
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