Alexander Gong Jung, RPH
Pharmacist in San Rafael, CA. Individual provider (NPI-1).
NPI number1316640907
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1316640907
- Entity type
- Individual (NPI-1)
- Name
- Alexander Gong Jung
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2023
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 87650 | CA | Yes |
Practice location
471 3rd StSan Rafael, CA 94901-3576
Phone 415-454-7744
Mailing address
1323 W Poplar StStockton, CA 95203-2149
Phone 209-981-2126
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