Individual
JAMES PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 ROUTE 36, PORT MONMOUTH, NJ 07758-1359
(732) 832-7041
Mailing address
375 ROUTE 36, PORT MONMOUTH, NJ 07758-1359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03816000
NJ
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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