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Individual
MRS. YUNG J PARK
Active
Individual
MRS. YUNG J PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH40035
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY36871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA368710
—
CA
01
—
RPH40035
BOARD OF PHARMACY
CA
Enumeration date
12/14/2006
Last updated
11/13/2008
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