Individual
DR. BRIAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
425 LEWANDOWSKI ST, LYNDHURST, NJ 07071-2540
(201) 438-7835
Mailing address
1308 CITY PL, EDGEWATER, NJ 07020-3143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03441400
NJ
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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