Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONG PARK
ActiveJONG PARK is a Pharmacist healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1205460847 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MOUNT PLEASANT, WI
Registration Details
- NPI Number
- 1205460847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2020 (6.4668239522098 yrs)
- Last Updated
- Feb 22, 2020
- Licenses
-
051300909 (IL)19030-40 (WI)
Practice Information
- Address
-
4901 SPRING STMOUNT PLEASANT, WI, 534062901Browse WI providers · Browse ZIP 53406
- Phone
- 2628869643
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in MOUNT PLEASANT, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES ROBERT KASTENHOLZ | RPH | 1467735639 |
| MS. PATRICIA ANN WALTHER | RPH | 1265715379 |
| MR. JAMES A LOIS | RPH | 1265715205 |
| DR. KAREN R PAWLAK | PHARM.D. | 1386927341 |
| MRS. SHOBHA POTTIPATI REDDY | PHARMD | 1831469915 |
| MR. MARK LEWNO | PHARM. D. | 1053664748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.