Individual
CHONG YOP PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2205 LAVISTA RD NE, ATLANTA, GA 30329-3951
(404) 633-4201
(404) 315-4402
Mailing address
2205 LAVISTA RD NE, ATLANTA, GA 30329-3951
(404) 633-4201
(404) 315-4402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019385
GA
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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