Individual
KAYLEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BERGEN TOWN CTR, PARAMUS, NJ 07652-5005
(201) 881-7661
Mailing address
900 BERGEN TOWN CTR, PARAMUS, NJ 07652-5005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03971700
NJ
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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