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Chong Park, RPH
NPI 1245861889 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2205 Lavista Rd Ne
Atlanta, GA 30329 - Phone
- (404) 633-4201
- Fax
- (404) 315-4402
- Organisation at this address
- The Kroger Co
Satellite Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia