Most Relevant Information
Provider Data
| NPI Number: | 1003432394 |
| Provider Name: | JONG HAK OH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 62686 |
Most Important Dates
| Enumeration Date: | 06/22/2020 |
| Last Updated: | 06/22/2020 |
Provider Practice Location
1801 SOUTH ST
LAFAYETTE
IN
479042962
Practice Location Phone/Fax
| Phone: | 7654481366 |
| Fax: | 7654481066 |
Provider Mailing Location
1801 SOUTH ST
LAFAYETTE
IN
479042962
Provider Mailing Phone/Fax
| Phone: | 7654481366 |
| Fax: | 7654481066 |