Jongho Park, - Pharmacist in San Rafael, CA

Jongho Park, is a Pharmacist based in San Rafael, California. Jongho Park is licensed to practice in California (license number RPH81423) and his current practice location is 442 Las Gallinas Ave, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at (415) 479-9171.

NPI number for Jongho Park is 1043857162 and his current mailing address is 442 Las Gallinas Ave, San Rafael, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043857162.

Contact Information

Jongho Park,
442 Las Gallinas Ave,
San Rafael, CA 94903-3618
(415) 479-9171
Not Available

Healthcare Provider's Profile

Full NameJongho Park
GenderMale
SpecialityPharmacist
Location442 Las Gallinas Ave, San Rafael, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043857162
  • Provider Enumeration Date: 12/09/2019
  • Last Update Date: 12/09/2019

Medical Identifiers

Medical identifiers for Jongho Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043857162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RPH81423 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jongho Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jongho Park,
442 Las Gallinas Ave,
San Rafael, CA 94903-3618

Ph: () -
Jongho Park,
442 Las Gallinas Ave,
San Rafael, CA 94903-3618

Ph: (415) 479-9171

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Pharmacist in San Rafael, CA

Maryam Havaei,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 155 Northgate One, San Rafael, CA 94903
Phone: 415-479-2260    
Elizabeth Susanna Pretorius,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Northgate Mall, San Rafael, CA 94903
Phone: 415-492-0888    Fax: 415-492-0501
Ken Mak, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Smith Ranch Rd, San Rafael, CA 94903
Phone: 415-492-6369    
David Yu, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 99 Montecillo Rd, San Rafael, CA 94903
Phone: 415-444-2980    
Christine Vi Le,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Northgate Mall, San Rafael, CA 94903
Phone: 415-492-0888    
Dr. Michelle Cunningham, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 99 Montecillo Rd, San Rafael, CA 94903
Phone: 415-492-6505    
Dr. Sharon Elaine Avdic, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Northgate Mall, San Rafael, CA 94903
Phone: 415-492-0888    

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