Individual
DR. ALEX PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 595-3100
(903) 595-3394
Mailing address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 595-3100
(903) 595-3394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11275
OK
183500000X
Pharmacist
Primary
41896
TX
183500000X
Pharmacist
52097
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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