Individual provider · Type 1 NPI

Sung Jae Back Durham, RPH

Pharmacist · Menlo Park, CA

NPI number 1124490933 Active

Practice location

871 Santa Cruz Ave
Menlo Park, CA 94025-4629

Call (650) 618-6300 Map

Fax (650) 618-6311

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X73080 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

7 other providers at this address

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About NPI 1124490933

Sung Jae Back Durham, RPH's National Provider Identifier is 1124490933, issued on Oct 21, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Menlo Park, CA. The record was last updated on Oct 21, 2015.