Jongho Park
Jongho Park is a Pharmacist in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
442 Las Gallinas AveSan Rafael, CA 94903-3618
Phone: (415) 479-9171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence RPH81423 (CA) |
|---|
Record details
| NPI number | 1043857162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2019 |
| Last updated in NPPES | December 9, 2019 |
| Certification date | December 9, 2019 |
| Mailing address | 442 Las Gallinas Ave, San Rafael, CA 94903-3618 |
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