Individual
HAE NA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 NORTHVIEW DR, PHARMACY DEPARTMENT, BOWIE, MD 20716-2616
(301) 262-7733
Mailing address
4101 NORTHVIEW DR, PHARMACY DEPARTMENT, BOWIE, MD 20716-2616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20692
MD
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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