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Individual
JUSTIN SONG
Active
Individual
JUSTIN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14188
AR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
24972
NV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PD14188
AR
Other
Enumeration date
08/17/2017
Last updated
05/30/2026
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