Individual
JUSTIN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3901 W MARKHAM ST, LITTLE ROCK, AR 72205-5527
(501) 664-6017
Mailing address
3400 S BOWMAN RD APT 1919, LITTLE ROCK, AR 72211-4645
(469) 226-9006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14188
AR
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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