IndividualActive
Sungho Park, PHARMD
NPI 1184575110 · Home Infusion Therapy Pharmacy · Charlottesville, VA
Provider details
- NPI number
- 1184575110
- Entity type
- Individual
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0202218660 (VA)
Specialties & taxonomies
Suppliers
Practice location
2205 Fontaine Ave
Charlottesville, VA 22903-2976
Phone: (434) 297-7555
Fax: (434) 297-4495
Approximate (ZIP-level) locationGet directions
Mailing address
2205 Fontaine Ave
Charlottesville, VA 22903-2976
Registry dates
- Enumerated
- 2026-02-05
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.