Individual
BRIAN J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10407 SANTA MONICA BLVD, LOS ANGELES, CA 90025-5009
(310) 481-7123
Mailing address
10407 SANTA MONICA BLVD, LOS ANGELES, CA 90025-5009
(310) 481-7123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55551
CA
Other
Enumeration date
10/17/2011
Last updated
10/19/2011
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