Local City Search for Pharmacies, Medical Equipment Suppliers, Pharmacists and Pharmacy Service ProvidersHYUNGWON KANG
2550 Pleasant Hill Rd # Build100 Ste 126
Duluth, GA 30096
770-622-0688
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 333600000X | Suppliers - Pharmacy - | ||
| Y | 3336C0003X | Suppliers - Pharmacy | GA | PHRE008994 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 422771904A | GA | MEDICAID | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1153864 | OTHER |