Xun Gong, RPH

NPI #1104100643 in West Babylon, New York

Provider Information

NPI Number
1104100643
Entity Type
Individual
Name
Xun Gong, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Oct 3, 2011
Last Updated
Oct 3, 2011

Practice Location

Address
134 GREAT EAST NECK RD
ZIP Code
11704-8027
Phone
(631) 321-3850

Specialties & Taxonomy Codes

Specialty
Pharmacist

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