Individual
JENNIFER PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 CONVERY BLVD, PERTH AMBOY, NJ 08861
(732) 826-9222
Mailing address
520 CONVERY BLVD, PERTH AMBOY, NJ 08861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03977300
NJ
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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