Provider Demographics
NPI:1679095384
Name:SON, FRANK SEOK MIN (PHARMD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:SEOK MIN
Last Name:SON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WHITING WAY
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3288
Mailing Address - Country:US
Mailing Address - Phone:818-804-0878
Mailing Address - Fax:
Practice Address - Street 1:3020 GREEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-7658
Practice Address - Country:US
Practice Address - Phone:530-676-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist