Park, Song Wook

Park, Song Wook is an individual health care provider with primary practice located at 413 Elden St , Herndon VA 20170-4512. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Park, Song Wook can be contacted via phone (571) 262-2970.

Contact Information

Primary practice address
413 Elden St Herndon VA 20170-4512
Fax: (571) 262-2973
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202207123 Virginia

Profile Details

NPI number 1811297971
LBN Legal business name Park, Song Wook
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2010
Last updated Oct 23rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers