Most Relevant Information
Provider Data
| NPI Number: | 1003419516 |
| Provider Name: | BONGSU KANG HONG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH025881 |
Most Important Dates
| Enumeration Date: | 11/17/2020 |
| Last Updated: | 11/17/2020 |
Provider Practice Location
4110 PLEASANT HILL RD
DULUTH
GA
300964853
Practice Location Phone/Fax
| Phone: | 7704180510 |
| Fax: |
Provider Mailing Location
4110 PLEASANT HILL RD
DULUTH
GA
300964853
Provider Mailing Phone/Fax
| Phone: | 7704180510 |
| Fax: |