KY OM

DUARTE, CA
NPI1386937795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  55689)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PS45187)
Enumeration Date2011-05-17
Last Update Date2011-05-17
Business Address
Dr. KY OM Pharm.D.
1050 HUNTINGTON DR
DUARTE, CA 91010-2475
Phone number: 626-803-0003
Mailing Address
Dr. KY OM Pharm.D.
1050 HUNTINGTON DR
DUARTE, CA 91010-2475
Phone number: 626-803-0003