MEDICARE: GEORGE CRAIG HONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	52708	CA

General Provider Information

NPI Number	:	1346987559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE CRAIG HONG

Provider Business Mailing Address
First Line	:	1730 W VERDUGO AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2148
Country	:	US
Telephone Number	:	818-842-1511
Fax Number	:	818-842-1457

Provider Business Practice Location Address
First Line	:	1730 W VERDUGO AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2148
Country	:	US
Telephone Number	:	818-842-1511
Fax Number	:	818-842-1457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	05/18/2022

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Directions to “ GEORGE CRAIG HONG ” Practice Location

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