Individual
MR. CHONGWOOK SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1661 LASKIN RD, VIRGINIA BEACH, VA 23451-6138
(757) 425-7665
(757) 437-1605
Mailing address
1661 LASKIN RD, VIRGINIA BEACH, VA 23451-6138
(757) 425-7665
(757) 437-1605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012355
VA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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