Provider Demographics
NPI:1184052821
Name:KO, SUN HEE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SUN HEE
Middle Name:
Last Name:KO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BROWNING LN UNIT 479
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3182
Mailing Address - Country:US
Mailing Address - Phone:267-294-5383
Mailing Address - Fax:
Practice Address - Street 1:301 BROWNING LN UNIT 479
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3182
Practice Address - Country:US
Practice Address - Phone:267-294-5383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03601400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist