Provider Demographics
NPI:1912316647
Name:OH, MIN HWAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MIN HWAN
Middle Name:
Last Name:OH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10820 ABBOTTS BRIDGE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5783
Mailing Address - Country:US
Mailing Address - Phone:470-223-4775
Mailing Address - Fax:470-223-4790
Practice Address - Street 1:10820 ABBOTTS BRIDGE RD STE 240
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-5783
Practice Address - Country:US
Practice Address - Phone:470-223-4775
Practice Address - Fax:470-223-4790
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist