Individual
DR. ELLISON JINWOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9110 LIBERTY RD, RANDALLSTOWN, MD 21133-3522
(410) 496-8146
Mailing address
3925 BEECH AVE APT 211, BALTIMORE, MD 21211-2254
(860) 471-4005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27818
MD
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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