Individual
JAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9202 COMMERCIAL CENTRE DR, BRIDGEVILLE, DE 19933-3822
(302) 337-9785
Mailing address
9202 COMMERCIAL CENTRE DR, BRIDGEVILLE, DE 19933-3822
(302) 337-9785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23092
MD
Other
Enumeration date
10/21/2016
Last updated
10/22/2016
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