Jongho Park

Pharmacist · San Rafael, CA

Individual Active NPI

NPI number 1043857162

Practice location

442 Las Gallinas Ave
San Rafael, CA 94903-3618
Phone
(415) 479-9171

Open in Google Maps

NPI record

NPI
1043857162
Entity type
Individual (Type 1)
Enumeration date
December 9, 2019
Last updated
December 9, 2019
Certified
December 9, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH81423 CA

About Jongho Park

Jongho Park is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 442 Las Gallinas Ave, San Rafael, CA 94903-3618. The NPI number 1043857162 was assigned on December 9, 2019 and the record was last updated on December 9, 2019.

Jongho Park lists a license in the registry: #RPH81423 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jongho Park?

The NPI number is 1043857162.

What is the phone number of Jongho Park?

The phone number listed for the practice location is (415) 479-9171.

Where is Jongho Park located?

442 Las Gallinas Ave, San Rafael, CA 94903-3618.

What is the taxonomy code for Jongho Park?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in San Rafael

All Pharmacist providers in San Rafael, CA →