Individual
JOHN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 832-0036
Mailing address
1015 GLENDALE DR APT 12E, GREENSBORO, NC 27406-6480
(857) 417-5105
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30152433
NC
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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