Individual
JIN WON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
667 MAIN ST, LAUREL, MD 20707-4067
(301) 317-3838
(301) 317-3637
Mailing address
667 MAIN ST, LAUREL, MD 20707-4067
(301) 317-3838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22887
MD
Other
Enumeration date
03/17/2019
Last updated
04/20/2019
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