Individual
ALEXANDER GONG JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
471 3RD ST, SAN RAFAEL, CA 94901-3576
(415) 454-7744
Mailing address
1323 W POPLAR ST, STOCKTON, CA 95203-2149
(209) 981-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87650
CA
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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